Individual
DR. ANNA THERESE DOMINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
470 N FRANKLIN TPKE STE 202, RAMSEY, NJ 07446-1385
(201) 236-2100
Mailing address
470 N FRANKLIN TPKE STE 202, RAMSEY, NJ 07446-1385
(201) 236-2100
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MB11579200
NJ
207V00000X
Obstetrics & Gynecology Physician
309964
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2017
Last updated
03/27/2023
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