Individual
DR. DOMINGO G AVIADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 CHAMBERS BRIDGE ROAD, BRICK, NJ 08723
(732) 771-2222
(732) 771-2223
Mailing address
250 CHAMBERS BRIDGE ROAD, BRICK, NJ 08723
(732) 771-2222
(732) 771-2223
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA10191700
NJ
207Q00000X
Family Medicine Physician
C10004793
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000719701
—
DE
Enumeration date
07/26/2006
Last updated
07/06/2020
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