Dominic Andre Jose

NPI #1083111587 in Charlottesville, Virginia

Provider Information

NPI Number: 1083111587
Entity Type: Individual
Name: Dominic Andre Jose
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Anesthesiology
Enumeration Date: Apr 11, 2018
Last Updated: Jul 1, 2022

Practice Location

Address: 1215 LEE ST
City: Charlottesville
State: Virginia
ZIP Code: 22908-0001
Phone: (434) 924-2283

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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