Individual
DONALD J DEBRAKELEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2 CAPITAL WAY STE 407, PENNINGTON, NJ 08534-2521
(609) 303-4460
(609) 303-4461
Mailing address
2 CAPITAL WAY STE 407, PENNINGTON, NJ 08534-2521
(609) 303-4460
(609) 303-4461
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
OS007454L
PA
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
25MB07617800
NJ
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
OS007454L
PA
Other
Enumeration date
10/31/2005
Last updated
02/10/2023
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