Individual
DOMINIC JOSEPH MAIELLO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 WEBSTER AVE, JERSEY CITY, NJ 07307-1824
(201) 798-2900
(201) 798-3582
Mailing address
3 WEBSTER AVE, JERSEY CITY, NJ 07307-1824
(201) 798-2900
(201) 798-3582
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MA40942
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3284808
—
NJ
Enumeration date
02/15/2006
Last updated
07/08/2007
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