CARLIE ANN DOMINGUEZ

NEWARK, NJ
NPI1881404440
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NJ  25MP00904600)
Enumeration Date2025-01-07
Last Update Date2025-01-07
Business Address
CARLIE ANN DOMINGUEZ PA
201 LYONS AVE
NEWARK, NJ 07112-2027
Phone number: 973-886-8521
Mailing Address
CARLIE ANN DOMINGUEZ PA
14 SUNSET DR
WHIPPANY, NJ 07981-1620
Phone number: