Individual
DONNA LIFSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
388 POMPTON AVE, CEDAR GROVE, NJ 07009-1814
(973) 803-0534
Mailing address
PO BOX 109, GLEN RIDGE, NJ 07028-0109
(973) 803-0534
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA04607800
NJ
Other
Enumeration date
05/01/2006
Last updated
09/02/2010
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