Eboli, Dominick J
Eboli, Dominick J is an individual health care provider with primary practice located at 832 Brunswick Ave , Trenton NJ 08638-3847. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Eboli, Dominick J can be contacted via phone (609) 396-2600.Contact Information
Primary practice address
832 Brunswick Ave
Trenton NJ 08638-3847
Phone: (609) 396-2600
Fax: (609) 396-3600
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 25MA06577700 | New Jersey |
Profile Details
| NPI number | 1649228065 |
|---|---|
| LBN Legal business name | Eboli, Dominick J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Apr 26th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649228065 | NPPES |
| New Jersey | MEDICAID | 8398003 |
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