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Organization

MD HEALTH GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIE DOMINGO MD (OWNER/PRESIDENT/MANAGING MEMBER)
(201) 956-9364
Entity
Organization

Contact information

Practice address
680 BROADWAY STE 205, PATERSON, NJ 07514-1527
(201) 839-3834
Mailing address
1 KARL PL APT 22, GARFIELD, NJ 07026-1641
(973) 955-8836

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1801834429
ANESTHESIOLOGY/ PAIN MANAGEMENT
NJ
Enumeration date
04/03/2024
Last updated
04/08/2024
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