NPI 1598753642

Dominador Co, MD

Practitioner Surgery Physician Mount Holly, NJ

Practice location

Address: 175 Madison Ave, Mount Holly, NJ 08060-2038
Phone: (609) 914-6180
Fax: (609) 914-6182
Mailing address: 401 Route 73 N 40 Lake Center Drive, Suite 201a, Marlton, NJ 08053-3425

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 25MA04218400 (NJ)

Other Surgery providers in New Jersey →

Registry record

NPI: 1598753642
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Oct 2005
Record last updated: 1 Sep 2010

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.