Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DOMINIQUE M. JAN, MD
ActiveDR. DOMINIQUE M. JAN, MD is a Pediatric Surgery healthcare provider located in BRONX, New York. NPI 1790726982 is currently active in the NPPES registry. Verify at CMS.
Pediatric Surgery · BRONX, NY
Registration Details
- NPI Number
- 1790726982
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 9, 2006 (20.198656768335 yrs)
- Last Updated
- Jan 19, 2012
- Licenses
-
0024381 (NY)250182 (NY)
Practice Information
- Address
-
3355 BAINBRIDGE AVEBRONX, NY, 104672801Browse NY providers · Browse ZIP 10467
- Phone
- 7189207200
- Fax
- 7185472929
- Primary Specialty
-
Pediatric Surgery
2086S0120X
- Additional Specialty
- Pediatric Surgery
Other Pediatric Surgery Providers in BRONX, NY
| Name | Credential | NPI |
|---|---|---|
| DR. STEVEN HOWARD BORENSTEIN | M.D. | 1326107418 |
| DR. MINDY BETH STATTER | M.D. | 1952466799 |
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.