Individual
DONALD R MCNELLIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3729 EASTON NAZARETH HWY, SUITE 201, EASTON, PA 18045-8344
(610) 253-6999
(610) 253-7808
Mailing address
3729 EASTON NAZARETH HWY, SUITE 201, EASTON, PA 18045-8344
(610) 253-6999
(610) 253-7808
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD020489E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00733180
—
PA
01
—
03135800
CAPITAL BLUE CROSS
PA
Enumeration date
03/29/2006
Last updated
07/08/2007
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