Individual provider · Type 1 NPI

Natalie Katherine Domanski, PA-C

Surgical Physician Assistant · Livingston, NJ

NPI number 1629728076 Active

Practice location

200 S Orange Ave Ste 180
Livingston, NJ 07039-5817

Call (973) 828-0128 Map

Mailing address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X25MP00741900 (NJ)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Surgical Physician Assistant Primary 363AS0400X25MP00741900 (NJ)

Surgical Physician Assistant: Definition to come...

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About NPI 1629728076

Natalie Katherine Domanski, PA-C's National Provider Identifier is 1629728076, issued on Mar 28, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Livingston, NJ. The record was last updated on Dec 16, 2022.