Dominique Jean Loguidice, PA-C
NPI #1063186963 in Maywood, New Jersey
Provider Information
- NPI Number
- 1063186963
- Entity Type
- Individual
- Name
- Dominique Jean Loguidice, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- PA-C
- Enumeration Date
- Aug 4, 2021
- Last Updated
- Aug 4, 2021
Practice Location
- Address
- 113 W ESSEX ST STE 204
- City
- Maywood
- State
- New Jersey
- ZIP Code
- 07607-1023
- Phone
- (201) 289-5551
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
| Physician Assistant - Surgical — Surgical |
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