DR. Jason Douglas Domogauer, MD, PHD is a student in an organized health care education training program in Newark, NJ. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Jason Douglas Domogauer, MD, PHD NPI is 1154825560. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
150 BERGEN ST
NEWARK, NJ
ZIP 07103-496
Phone: (973) 972-6056
The NPI 1154825560 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/20/2018 and was last updated on 3/20/2018.