Individual
DENNIS WILLIAM DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
425 HOMESTEAD RD, WAYNE, PA 19087-2433
(610) 687-3098
(610) 687-0744
Mailing address
425 HOMESTEAD RD, WAYNE, PA 19087-2433
(610) 687-3098
(610) 687-0744
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD 010938E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260048760
RAILROAD MEDICARE PIN
PA
Enumeration date
04/10/2007
Last updated
12/02/2008
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