DOMINIQUE JEAN LOGUIDICE PA-C NPI 1063186963

NPI Information

NPI: 1063186963
Provider Name: DOMINIQUE JEAN LOGUIDICE, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
113 W ESSEX ST STE 204
MAYWOOD, NJ
ZIP 07607
Phone: (201) 289-5551
Get Directions

Dominique Jean Loguidice, PA-C is a surgical physician assistant in Maywood, NJ. Dominique Jean Loguidice, PA-C NPI is 1063186963. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

113 W ESSEX ST STE 204
MAYWOOD, NJ
ZIP 07607-023
Phone: (201) 289-5551

The enumeration date for this NPI number is 8/4/2021 and was last updated on 8/4/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	25MP00631600	NEW JERSEY	No
2	363AS0400X	Physician Assistant	Surgical	25MP00631600	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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