Individual
DR. KATHLEEN L MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 2ND AVE, LONG BRANCH, NJ 07740-6303
(732) 390-0040
(732) 955-8874
Mailing address
579A CRANBURY RD, EAST BRUNSWICK, NJ 08816-5426
(732) 390-0040
(732) 955-8874
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
MA03538300
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
25MA03538300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7354207
—
NJ
Enumeration date
06/27/2005
Last updated
10/02/2020
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