Dominique Jean Loguidice, PA-C
Dominique Jean Loguidice, PA-C is a Physician Assistant in Maywood, New Jersey. Qualified in 2021, 5 years ago. Practices with The Plastic Surgery Center, a 89-clinician group and accepts Medicare assignment. Licensed in New Jersey.
- Years since qualifying
- 5
- Licensed in
- NJ
- In the registry since
- 2021
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
113 W Essex St Ste 204Maywood, NJ 07607-1023
Phone: (201) 289-5551
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence 25MP00631600 (NJ) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence 25MP00631600 (NJ) |
Record details
| NPI number | 1063186963 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | August 4, 2021 |
| Last updated in NPPES | August 4, 2021 |
| Certification date | August 4, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | The Plastic Surgery Center — 89 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |