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Stevenson Dominique, PA
Physician Assistant in Wayne, New Jersey
NPI 1912536301

Stevenson Dominique is a Physician Assistant based in Wayne, NJ. Stevenson Dominique practices in Wayne, NJ and has the professional credentials of PA. The NPI Number for Stevenson Dominique is 1912536301 and holds a License No. 000512-P.A. (New Jersey).

The current practice location address for Stevenson Dominique is 1700 Nj-23 # 170, Wayne, NJ and can be reached out via phone at 732-338-7202.

Location: 1700 Nj-23 # 170, Wayne, NJ, 07470
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912536301
Provider Name
Stevenson Dominique
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1700 Nj-23 # 170, Wayne, NJ, 07470
Phone Number
732-338-7202
Fax Number
Provider Enumeration Date
04/07/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1700 Nj-23 # 170
City
Wayne
State
New Jersey
Zip
07470
Phone Number
732-338-7202
Fax Number
person
Provider Business Mailing Address Details
Address
1700 Nj-23 # 170
City
Wayne
State
New Jersey
Zip
07470
Phone Number
732-338-7202
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
000512-P.A. ()
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
000512-P.A. ()
Definition
Definition to come...
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