| Dominique Jean Loguidice, PA-C | |
|
113 W Essex St Ste 204, Maywood, NJ 07607-1023 | |
| (201) 289-5551 | |
| Not Available |
| Full Name | Dominique Jean Loguidice |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Surgical |
| Location | 113 W Essex St Ste 204, Maywood, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063186963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 25MP00631600 (New Jersey) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 25MP00631600 (New Jersey) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dominique Jean Loguidice, PA-C 113 W Essex St Ste 204, Maywood, NJ 07607-1023 Ph: (201) 289-5551 | Dominique Jean Loguidice, PA-C 113 W Essex St Ste 204, Maywood, NJ 07607-1023 Ph: (201) 289-5551 |
Ann Mary Thomas, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 130a W Pleasant Ave, Maywood, NJ 07607 Phone: 201-820-4477 | |
Rebecca Flim, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 113 W Essex St Ste 201, Maywood, NJ 07607 Phone: 201-226-0145 | |
Mr. David S Miller, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 255 W Spring Valley Ave, Suite 101, Maywood, NJ 07607 Phone: 973-429-6991 Fax: 919-425-0478 | |
Ivan Bilbao-lavieja, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 113 W Essex St Ste 201, Maywood, NJ 07607 Phone: 201-226-0145 | |
Daniela Seleh, Physician Assistant Medicare: Medicare Enrolled Practice Location: 240 W Passaic St Ste 14, Maywood, NJ 07607 Phone: 310-666-6173 | |
Nicole Castelluccio, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 113 W Essex St, Maywood, NJ 07607 Phone: 201-487-3400 Fax: 201-603-1993 |