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Individual
THEODORE S DONTA
Active
Individual
THEODORE S DONTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
MD-36713
IA
2085N0700X
Neuroradiology Physician
Primary
MD-36713
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750387999
—
IA
Enumeration date
07/11/2006
Last updated
04/24/2025
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