Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 25MA09046000 | NJ |
NPI | 1003053976 |
---|---|
Provider Name | Dr. Margaret Donlon |
First Address | Red Bank, NJ 07701-5727 |
Second Address | Red Bank, NJ 07701-5727 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/01/2009 |
Last Update Date | 11/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
25MA09046000 | LICENSE (01) | NJ |