Individual
DR. DONNA MARIE KONLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., F.A.C.C.
Contact information
Practice address
246 HAMBURG TPKE, SUITE 201, WAYNE, NJ 07470-2156
(973) 942-1141
(973) 942-1250
Mailing address
246 HAMBURG TPKE, SUITE 201, WAYNE, NJ 07470-2156
(973) 942-1141
(973) 942-1250
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA06496000
NJ
207UN0901X
Nuclear Cardiology Physician
25MA06496000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7134606
—
NJ
Enumeration date
11/01/2006
Last updated
04/29/2010
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