NPI 1376923755

Jonathan Manuel Dominguez, MD

Practitioner Family Medicine Physician North Bergen, NJ

Practice location

Address: 7919 Kennedy Blvd, North Bergen, NJ 07047-4137
Phone: (201) 528-3664
Fax: (201) 528-3662

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 25MA10256200 (NJ)

Other Family Medicine providers in New Jersey →

Registry record

NPI: 1376923755
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jun 2015
Record last updated: 13 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.