Maiello, Dominic Joseph

Maiello, Dominic Joseph is an individual health care provider with primary practice located at 3 Webster Ave , Jersey City NJ 07307-1824. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Maiello, Dominic Joseph can be contacted via phone (201) 798-2900.

Contact Information

Primary practice address
3 Webster Ave Jersey City NJ 07307-1824
Fax: (201) 798-3582
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X MA40942 New Jersey

Profile Details

NPI number 1487628467
LBN Legal business name Maiello, Dominic Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487628467 NPPES
New Jersey MEDICAID 3284808

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