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Individual

DR. JOSEPH E DOMANSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2911 ROUTE 88, SUITE 1, POINT PLEASANT BORO, NJ 08742-2871
(732) 295-2337
Mailing address
2 BONNIE LN, BRICK, NJ 08724-4378
(732) 458-4996

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA03285500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11671
GHI
NJ
05
1822608
NJ
01
1K1005
HEALTHNET
NJ
01
P878007
OXFORD
NJ
Enumeration date
02/13/2006
Last updated
07/08/2007
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