Domenico, Anthony

Domenico, Anthony is an individual health care provider with primary practice located at 56 Schoolhouse Rd , Whiting NJ 08759-3052. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Domenico, Anthony can be contacted via phone (732) 716-1300.

Contact Information

Primary practice address
56 Schoolhouse Rd Whiting NJ 08759-3052
Phone: (732) 716-1300
Fax: (732) 716-1290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 25MD00084900 New Jersey

Profile Details

NPI number 1518967520
LBN Legal business name Domenico, Anthony
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2005
Last updated Jul 13th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518967520 NPPES
New Jersey MEDICAID 1720503

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