Hearn, Diana Domingo

Hearn, Diana Domingo is an individual health care provider with primary practice located at 222 Cedar Ln Ste 207 , Teaneck NJ 07666-4312. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is her primary health care specialty. Hearn, Diana Domingo can be contacted via phone (201) 833-7087.

Contact Information

Primary practice address
222 Cedar Ln Ste 207 Teaneck NJ 07666-4312
Phone: (201) 833-7087
Fax: (201) 833-7123
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X 25MB10082700 New Jersey

Profile Details

NPI number 1558748129
LBN Legal business name Hearn, Diana Domingo
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2015
Last updated Jul 5th, 2022 - about 3 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 1558748129 NPPES
New Jersey MEDICAID 0739324

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