Individual
BERTHONY DOMINGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2669 FRIES MILL RD, WILLIAMSTOWN, NJ 08094-3336
(973) 860-8552
Mailing address
2669 FRIES MILL RD, WILLIAMSTOWN, NJ 08094-3336
(973) 860-8552
Taxonomy
Speciality
Code
Description
License number
State
347B00000X
Bus
Primary
—
—
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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