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1518967520
ANTHONY DOMENICO
WHITING, NJ
NPI
1518967520
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: NJ 25MD00084900)
Enumeration Date
2005-08-01
Last Update Date
2007-07-08
Business Address
Dr. ANTHONY DOMENICO DPM
56 SCHOOLHOUSE RD
WHITING, NJ 08759-3052
Phone number: 732-716-1300
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Mailing Address
Dr. ANTHONY DOMENICO DPM
13B BIRCHWOOD DR
WHITING, NJ 08759-1732
Phone number: 732-350-3763
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