Federico, Dominick

Federico, Dominick is an sole proprietor health care provider with primary practice located at 600 River Avenue , Lakewood NJ 08701. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Federico, Dominick can be contacted via phone (732) 363-1900.

Contact Information

Primary practice address
600 River Avenue Lakewood NJ 08701
Phone: (732) 363-1900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 25MP00285300 New Jersey

Profile Details

NPI number 1326393026
LBN Legal business name Federico, Dominick
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2012
Last updated Jul 18th, 2012 - about 13 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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