# DONNA M. DEPHILLIPS LIMITED LIABILITY COMPANY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528451507
- **Authorized official:** DR. DONNA M DEPHILLIPS M.D. (OWNER)
- **Authorized official phone:** (201) 417-4931

## Contact information

- **Practice address:** 7 WESTMINSTER PL, OLD TAPPAN, NJ 07675-6807
- **Practice address phone:** (201) 417-4931
- **Mailing address:** PO BOX 2098, RIVER VALE, NJ 07675-9001
- **Mailing address phone:** (201) 417-4931

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | MA60823 | NJ | Yes |

## Other

- **Enumeration date:** 03/14/2015
- **Last updated:** 03/14/2015