person
Dominique Jean Loguidice, PA-C
Surgical Physician Assistant in Maywood, New Jersey
NPI 1063186963

Dominique Jean Loguidice is a Surgical Physician Assistant based in Maywood, NJ and is specialized in Surgical. Dominique Jean Loguidice practices in Maywood, NJ and has the professional credentials of PA-C. The NPI Number for Dominique Jean Loguidice is 1063186963 and holds a License No. 25MP00631600 (New Jersey).

The current practice location address for Dominique Jean Loguidice is 113 W Essex St Ste 204, Maywood, NJ and can be reached out via phone at 201-289-5551.

Location: 113 W Essex St Ste 204, Maywood, NJ, 07607-1023
person
Provider Profile Details
NPI Number
1063186963
Provider Name
Dominique Jean Loguidice
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
113 W Essex St Ste 204, Maywood, NJ, 07607-1023
Phone Number
201-289-5551
Fax Number
Provider Enumeration Date
08/04/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
113 W Essex St Ste 204
City
State
Zip
07607-1023
Phone Number
201-289-5551
Fax Number
person
Provider Business Mailing Address Details
Address
113 W Essex St Ste 204
City
State
Zip
07607-1023
Phone Number
201-289-5551
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
25MP00631600 (New Jersey)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
25MP00631600 (New Jersey)
Definition
Definition to come...
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