Organization
DOMI HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN MANUEL DOMINGUEZ MD (OWNER / PHYSICIAN)
(201) 528-3664
Entity
Organization
Contact information
Practice address
7919 KENNEDY BLVD, NORTH BERGEN, NJ 07047
(201) 528-3664
(201) 528-3662
Mailing address
7919 KENNEDY BLVD, NORTH BERGEN, NJ 07047
(201) 528-3664
(201) 528-3662
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/30/2020
Last updated
08/13/2024
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