Dominguez German, Mariell E

Dominguez German, Mariell E is an individual health care provider with primary practice located at 3196 Kennedy Blvd , Union City NJ 07087-2436. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Dominguez German, Mariell E can be contacted via phone (833) 617-0501.

Contact Information

Primary practice address
3196 Kennedy Blvd Union City NJ 07087-2436
Phone: (833) 617-0501
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA10984600 New Jersey

Profile Details

NPI number 1447785985
LBN Legal business name Dominguez German, Mariell E
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2017
Last updated Feb 18th, 2021 - about 5 years 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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