person
Dr. Anthony Domenico, DPM
Podiatrist in Whiting, New Jersey
NPI 1518967520

Anthony Domenico is a Podiatrist based in Whiting, NJ. Anthony Domenico practices in Whiting, NJ and has the professional credentials of DPM. The NPI Number for Anthony Domenico is 1518967520 and holds a License No. 25MD00084900 (New Jersey).

The current practice location address for Anthony Domenico is 56 Schoolhouse Rd, Whiting, NJ and can be reached out via phone at 732-716-1300 and via fax at 732-716-1290.

Location: 56 Schoolhouse Rd, Whiting, NJ, 08759-1732
person
Provider Profile Details
NPI Number
1518967520
Provider Name
Anthony Domenico
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
56 Schoolhouse Rd, Whiting, NJ, 08759-1732
Phone Number
732-716-1300
Fax Number
732-716-1290
Provider Enumeration Date
08/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1720503 05 NJ
institution
Provider Business Practice Location Address Details
Address
56 Schoolhouse Rd
City
State
Zip
08759-3052
Phone Number
732-716-1300
Fax Number
732-716-1290
person
Provider Business Mailing Address Details
Address
56 Schoolhouse Rd
City
State
Zip
08759-3052
Phone Number
732-716-1300
Fax Number
732-716-1290
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
License No.
25MD00084900 (New Jersey)
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 and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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