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DOMINIQUE LOGUIDICE, PA-C

PA-C

Surgical Physician Assistant

NPI: 1063186963IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician Assistant — Medical

Code: 363AM0700X

25MP00631600(NJ)

Physician Assistant — Surgical

Code: 363AS0400X

25MP00631600(NJ)

CMS Specialties

Education

OTHER

Class of 2021

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Contact & Hours

Address
113 W ESSEX ST STE 204
MAYWOOD, NJ 07607

Quick Facts

NPI
1063186963
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
5

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