Jeremy Abraham Dominik MD

NPI 1679778823 - Anesthesiology - 207L00000X

NPI Details
NPI 1679778823
Gender Male
Enumeration Date 06/18/2007
Last Updated 07/01/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
33 OVERLOOK RD # 311
SUMMIT ANESTHESIA ASSOCIATES
SUMMIT NJ, 07901-3563, US
Phone (732) 995-1557
Fax
Business Location
1203 WINDSOR PARK CT
ENGLEWOOD NJ, 07631-4974, US
Phone (732) 995-1557
Fax
Toxanomy
Taxonomy Code 207L00000X
License State New York
License Number 255156
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According to our database, Dr. Jeremy Abraham Dominik MD NPI is 1679778823, taxonomy code is 207L00000X and license number is 255156, license state is located at New York. Jeremy Abraham Dominik MD physically located at 33 Overlook Rd # 311, Summit NJ, 07901-3563. NPI Number Jeremy Abraham Dominik MD has the Individual type.

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1679778823 NPI number is provided on an as is basis without warranty of any kind. 1679778823 is maintained by the National Plan & Provider Enumeration System. The contents of Jeremy Abraham Dominik MD are for informational purposes only.