Individual
DENISE DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
477 STATE ROUTE 10 STE 205, RANDOLPH, NJ 07869-2144
(973) 560-9500
(833) 493-1248
Mailing address
271 GROVE AVE STE E, VERONA, NJ 07044-1730
(973) 559-3700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA12377600
NJ
Other
Enumeration date
04/07/2022
Last updated
10/08/2025
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