Individual
DOMINIC HAMAZH CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
326 1/2 S 11TH ST, NEWARK, NJ 07103-1956
(862) 237-1215
Mailing address
326 1/2 S 11TH ST, NEWARK, NJ 07103-1956
(862) 237-1215
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
C72431726804882
NJ
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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