DOMINICK CONDO MD PA
Suppliers at Broadway, Bergen Point, NJ

License number
New Jersey 25MA08097300
Category
Suppliers
Type
Non-Pharmacy Dispensing Site
Owner
Name: KENNY HEINE
Title: VP OF OPERATIONS
Phone: (858) 964-1506
Address
Address 2
622 Broadway, Bergen Point, NJ 07002
9276 Scranton Rd SUITE 100, San Diego, CA 92121
National Provider ID: 1770904138
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about DOMINICK CONDO MD PA at bizstanding.com

DOMINICK CONDO, M.D., PA

Bayonne, NJ

Registration:
Jan 9, 1986
State ID:
0100283966
Business type:
PA

DOMINICK CONDO M.D. PA

Bayonne, NJ

Registration:
Dec 8, 2004
State ID:
0100937084
Business type:
PA

Suppliers licenses in New Jersey










Other Doctors licenses in New Jersey