Dominador Co in Marlton - Surgery

Dominador Co - NPI 1598753642

Dominador Co is a Surgery in Marlton, New Jersey. Dominador Co practices all healthcare services and medical treatments related to Surgery. The NPI Number for Dominador Co is 1598753642. The last update date is 2010-09-01.

Dominador Co's current location address is 401 Route 73 N, Marlton, New Jersey. You can contact this provider via phone number 8563550340 and fax number 8563550346. The mailing address for Dominador Co is 401 Route 73 N, Marlton, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Dominador Co
Address 401 Route 73 N, Marlton, New Jersey
Phone Number 8563550340
Fax Number 8563550346
Sole Proprietor N
Credentials M.D

NPI Number Detail

NPI Number 1598753642
Provider Enumeration Date 2005-10-12
Last Updated Date 2010-09-01

Provider Mailing Address Detail

Address 401 Route 73 N
City Marlton
State New Jersey (NJ)
Post Code 80533425
Phone Number 8563550340
Fax Number 8563550346

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 25MA04218400
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
642509 NJ --

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FAQs about Dominador Co

What is the unique identifier code issued to Dominador Co by the Centers for Medicare & Medicaid Services (CMS)?

The Dominador Co has been assigned the NPI (National Provider Identifier) 1598753642. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Dominador Co's physical address?

The Dominador Co is physically located at 401 Route 73 N, in the city of Marlton, NJ, with the postal code 80533425.

What is Dominador Co's specialized field of practice, and what is the corresponding taxonomy classification code?

The Dominador Co's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.

When was the Dominador Co's 1598753642 issued?

The Dominador Co's 1598753642 was issued on 2005-10-12.

As of what date were the details pertaining to Dominador Co last refreshed?

The information related to the Dominador Co, including its address, specialty, and other relevant details, was last updated on 2010-09-01.

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