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Dominic Olivo
NPI 1548500275 · on the registry since 2013 · sole proprietor
Practice
- Address
- 30 Old Brookside Rd
Randolph, NJ 07869 - Phone
- (973) 945-5282
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
- Licence states on file
- NJ, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-02-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey