Ruth K Dominguez Enriquez, PA
NPI #1598462228 in Glen Ridge, New Jersey
Provider Information
- NPI Number
- 1598462228
- Entity Type
- Individual
- Name
- Ruth K Dominguez Enriquez, PA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Feb 13, 2023
- Last Updated
- Apr 16, 2025
Practice Location
- Address
- 200 HIGHLAND AVE STE 100B
- City
- Glen Ridge
- State
- New Jersey
- ZIP Code
- 07028-1521
- Phone
- (973) 969-3800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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