# DR. HENRY P DONNON JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1831119171
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 25MA02237900 | NJ | Yes |
| 208D00000X | General Practice Physician | MD010442E | PA | — |

## Other

- **Enumeration date:** 07/20/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0078871002 | AMERIHEALTH | — |
| 01 | — | 1072464 | HORIZON MERCY | — |
| 01 | — | 1094758 | CIGNA PLAN CODE 030 | — |
| 01 | — | 2137 | AETNA USHC | — |
| 01 | — | 222005560 | HORIZON BLUE CROSS | — |
| 01 | — | 243010895601 | STATE ID | — |
| 01 | — | 47133 | AETNA USHC | — |
| 05 | — | 4880609 | — | NJ |
| 01 | — | 89521 | AMERIGROUP ID | — |
| 01 | — | D02644900 | NJCDS | NJ |