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Individual

DR. JOHN STANLEY DOMINSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
376 LAFAYETTE RD STE 105, SPARTA, NJ 07871-3560
(973) 579-3027
Mailing address
427 GREEN RD, SPARTA, NJ 07871-3030
(973) 600-6216

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01737600
NJ

Other

Enumeration date
09/05/2017
Last updated
09/05/2017
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