Dominique Montague, PA-C

NPI #1316233497 in Woodbury, New Jersey

Provider Information

NPI Number: 1316233497
Entity Type: Individual
Name: Dominique Montague, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 27, 2011
Last Updated: Jun 27, 2011

Practice Location

Address: 307 S EVERGREEN AVE
City: Woodbury
State: New Jersey
ZIP Code: 08096-2739
Phone: (800) 848-3721

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Medical — Medical	363AM0700X

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