Organization
DONATO A COLAVITA, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONATO ANTONIO COLAVITA M.D. (PRESIDENT)
(973) 344-6897
Entity
Organization
Contact information
Practice address
253 LAFAYETTE ST, NEWARK, NJ 07105-2142
(973) 344-6897
(973) 344-3854
Mailing address
253 LAFAYETTE ST, NEWARK, NJ 07105-2142
(973) 344-6897
(973) 344-3854
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MA40963
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2058804
—
NJ
Enumeration date
12/04/2008
Last updated
12/04/2008
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