Anthony Domenico is a Podiatrist in Whiting, New Jersey. Anthony Domenico practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Anthony Domenico is 1518967520. The last update date is 2007-07-08.
Anthony Domenico's current location address is 56 Schoolhouse Rd, Whiting, New Jersey. You can contact this provider via phone number 7327161300 and fax number 7327161290. The mailing address for Anthony Domenico is 56 Schoolhouse Rd, Whiting, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anthony Domenico |
|---|---|
| Address | 56 Schoolhouse Rd, Whiting, New Jersey |
| Phone Number | 7327161300 |
| Fax Number | 7327161290 |
| Sole Proprietor | X |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1518967520 |
|---|---|
| Provider Enumeration Date | 2005-08-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 56 Schoolhouse Rd |
|---|---|
| City | Whiting |
| State | New Jersey (NJ) |
| Post Code | 87593052 |
| Phone Number | 7327161300 |
| Fax Number | 7327161290 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 25MD00084900 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1720503 | NJ | -- |
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What is the unique 10-digit identifier code assigned to Anthony Domenico by the Centers for Medicare & Medicaid Services?
The Anthony Domenico has been issued the NPI (National Provider Identifier) 1518967520 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Anthony Domenico's physical address?
The Anthony Domenico is physically located at 56 Schoolhouse Rd, in the city of Whiting, NJ, with the postal code 87593052.
What is the Anthony Domenico's area of specialization and corresponding taxonomy classification?
The Anthony Domenico's specialty field is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their specialties.
When was the Anthony Domenico's 1518967520 issued?
The Anthony Domenico's 1518967520 was issued on 2005-08-01.
As of what date were the Anthony Domenico's details last updated?
The information pertaining to the Anthony Domenico, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1215930425
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