Individual
MARIE R DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
425 HOMESTEAD RD, WAYNE, PA 19087-2433
(610) 687-1995
(610) 687-0744
Mailing address
425 HOMESTEAD RD, WAYNE, PA 19087-2433
(610) 687-1995
(610) 687-0744
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD 009489E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD 009489E
MEDICAL LICENSE
PA
Enumeration date
04/18/2007
Last updated
07/08/2007
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