Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOMINIQUE JEAN LOGUIDICE, PA-C
ActiveDOMINIQUE JEAN LOGUIDICE, PA-C is a Surgical Physician Assistant healthcare provider located in MAYWOOD, New Jersey. NPI 1063186963 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · MAYWOOD, NJ
Registration Details
- NPI Number
- 1063186963
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 4, 2021 (4.9878668289694 yrs)
- Last Updated
- Aug 4, 2021
- Licenses
-
25MP00631600 (NJ)25MP00631600 (NJ)
Practice Information
- Address
-
113 W ESSEX ST STE 204MAYWOOD, NJ, 076071023Browse NJ providers · Browse ZIP 07607
- Phone
- 2012895551
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in MAYWOOD, NJ
| Name | Credential | NPI |
|---|---|---|
| MARISA RENEE ALTAMIRANO | PA-C | 1679247233 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.