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MR. RICHARD JAMES DONAHUE III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
IDC

Contact information

Practice address
BLDG. 39 LANSDOWNE ROAD BRANCH HEALTH CLINIC, NAVAL AIR ENGINEERING STATION, LAKEHURST, NJ 08733
(732) 323-7106
Mailing address
613B BLANDY RD, NWS EARLE, COLTS NECK, NJ 07722
(732) 323-7106

Taxonomy

Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary

Other

Enumeration date
06/21/2007
Last updated
07/08/2007
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