Individual
DR. MARIA C DOMINGUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1068 CLINTON AVE, IRVINGTON, NJ 07111-3501
(954) 734-0574
Mailing address
55 PAVONIA AVE, KEARNY, NJ 07032-2230
(954) 734-0574
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00630100
NJ
Other
Enumeration date
02/17/2011
Last updated
12/20/2021
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