Individual
DR. JEREMY ABRAHAM DOMINIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2419
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2419
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
255156
NY
207L00000X
Anesthesiology Physician
Primary
25MA08914300
NJ
Other
Enumeration date
06/18/2007
Last updated
05/11/2018
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