Individual
MR. DOMINICK OTTOMANELLI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
1250 SUSSEX TPKE STE N, RANDOLPH, NJ 07869-2908
(973) 532-2256
Mailing address
10 FLETCHER PL, MADISON, NJ 07940-2307
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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