Michelle Domingo, PA-C
NPI #1952737116 in Raritan, New Jersey
Provider Information
- NPI Number
- 1952737116
- Entity Type
- Individual
- Name
- Michelle Domingo, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Sep 19, 2013
- Last Updated
- Oct 11, 2022
Practice Location
- Address
- 575 STATE ROUTE 28 STE 2108
- City
- Raritan
- State
- New Jersey
- ZIP Code
- 08869-1354
- Phone
- (973) 295-6335
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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