Dr. Dominador Co, MD
Surgery in Mount Holly, New Jersey
1598753642- Practice location
- 175 Madison Ave, Mount Holly, NJ 08060-2038
- Phone
- 609-914-6180
- Fax
- 609-914-6182
- Last updated
- September 1, 2010
Dominador Co is a Surgery based in Mount Holly, NJ. Dominador Co practices in Mount Holly, NJ and has the professional credentials of MD. The NPI Number for Dominador Co is 1598753642 and holds a License No. 25MA04218400 (NJ). The current practice location address for Dominador Co is 175 Madison Ave, Mount Holly, NJ 08060-2038 and can be reached out via phone at 609-914-6180 and via fax at 609-914-6182.
Provider Profile Details
- NPI Number
- 1598753642
- Provider Name
- Dominador Co
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 175 Madison Ave, Mount Holly, NJ 08060-2038
- Phone Number
- 609-914-6180
- Fax Number
- 609-914-6182
- Primary Taxonomy
- Surgery · 208600000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 12, 2005
- Last Update Date
- September 1, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 175 Madison Ave
Mount Holly, NJ 08060-2038 - City
- Mount Holly
- State
- New Jersey
- Zip
- 08060-2038
- Phone Number
- 609-914-6180
- Fax Number
- 609-914-6182
Provider Business Mailing Address Details
- Address
- 401 Route 73 N
40 Lake Center Drive, Suite 201A
Marlton, NJ 08053-3425 - City
- Marlton
- State
- NJ
- Zip
- 08053-3425
- Phone Number
- 856-355-0340
- Fax Number
- 856-355-0346
License Information
- License Number
- 25MA04218400
- License State
- NJ
- Taxonomy
- Surgery · 208600000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Dominador Co, MD?
The NPI number of Dr. Dominador Co, MD is 1598753642. It was assigned on October 12, 2005 and is currently active in the NPPES registry.
What is the specialty of Dr. Dominador Co, MD?
Dr. Dominador Co, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in NJ under license number 25MA04218400.
Where does Dr. Dominador Co, MD practice?
The practice location is 175 Madison Ave, Mount Holly, NJ 08060-2038. The office can be reached at 609-914-6180 (phone) or 609-914-6182 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1598753642 directly on the NPPES registry website.