Dr. John D Domanski
Family Doctor Family Doctor - Geriatric Medicine
1405 Chews Landing Rd Ste. 4
Laurel Springs
, New Jersey 08021-2769
Dr. John D Domanski
Family Doctor Family Doctor - Geriatric Medicine
1405 Chews Landing Rd Ste. 4
Laurel Springs
, New Jersey 08021-2769
(856) 228-9928
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About
Features
Specialties
- Family Doctor
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. John D Domanski
- 1405 Chews Landing Rd Ste. 4
- Laurel Springs, NJ
- Zip : 08021-2769
- Fax : (856) 228-9928
- Phone : (856) 228-1118
Second Address
- Dr. John D Domanski
- 1405 Chews Landing Rd Ste. 4
- Laurel Springs, NJ
- Zip : 08021-2769
- Fax : (856) 228-9928
- Phone : (856) 228-1118
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | MA03191300 | NJ |
| N | 207QG0300X | Family Doctor - Geriatric Medicine | MA03191300 | NJ |
National Provider Identifier
| NPI | 1073593083 |
|---|---|
| Provider Name | Dr. John D Domanski |
| First Address | Laurel Springs, NJ 08021-2769 |
| Second Address | Laurel Springs, NJ 08021-2769 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/01/2006 |
| Last Update Date | 10/04/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4792807 | (05) | NJ |
| D07182 | (02) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.