Individual
DOMENICK L SCALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1850 N CENTRAL AVE STE 1600, PHOENIX, AZ 85004-4633
(602) 262-8900
Mailing address
187 MILLBURN AVE, SUITE 101, MILLBURN, NJ 07041-1847
(973) 943-1466
(973) 467-1422
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25MA05845200
NJ
207L00000X
Anesthesiology Physician
Primary
51644
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8175101
—
NJ
Enumeration date
07/20/2006
Last updated
03/17/2018
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