Individual
DR. NICOLE MARIE DOMINICK-RIZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2510 MARYLAND RD, STE #160, WILLOW GROVE, PA 19090-1109
(215) 672-6622
Mailing address
2510 MARYLAND RD, STE #160, WILLOW GROVE, PA 19090-1109
(215) 672-6622
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD448802
PA
Other
Enumeration date
04/28/2010
Last updated
07/17/2013
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