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Individual

DR. DONATO ANTONIO COLAVITA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

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
04/19/2006
Last updated
07/16/2007
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