Individual
DR. MARIE ANNETTE DOMINGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
172 WASHINGTON VALLEY RD STE 5, WARREN, NJ 07059-7178
(201) 956-9364
Mailing address
513 CLINTON AVE, WYCKOFF, NJ 07481-1405
(201) 956-9364
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MA07159300
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MA07159300
NJ
Other
Enumeration date
06/04/2006
Last updated
08/05/2024
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