Aviado, Domingo G

Aviado, Domingo G is an individual health care provider with primary practice located at 250 Chambers Bridge Road , Brick NJ 08723. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Aviado, Domingo G can be contacted via phone (732) 771-2222.

Contact Information

Primary practice address
250 Chambers Bridge Road Brick NJ 08723
Fax: (732) 771-2223
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C10004793 Delaware
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA10191700 New Jersey

Profile Details

NPI number 1891718185
LBN Legal business name Aviado, Domingo G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jul 6th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891718185 NPPES
Delaware MEDICAID 000719701

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