Individual
DOMINICK ANTHONY LOBRAICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1019 BROADWAY, WEST LONG BRANCH, NJ 07764-1326
(732) 229-6797
(732) 229-6893
Mailing address
458 SYCAMORE AVE, SHREWSBURY, NJ 07702-4205
(732) 345-1887
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MB56878
NJ
Other
Enumeration date
06/15/2006
Last updated
01/15/2013
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