DOMINICK FEDERICO

LAKEWOOD, NJ
NPI1326393026
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NJ  25MP00285300)
Enumeration Date2012-07-18
Last Update Date2012-07-18
Business Address
-- DOMINICK FEDERICO Physician Assistant
600 RIVER AVENUE
LAKEWOOD, NJ 08701
Phone number: 732-363-1900
Mailing Address
-- DOMINICK FEDERICO Physician Assistant
600 RIVER AVENUE
LAKEWOOD, NJ 08701
Phone number: 732-363-1900
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