Individual
EILEEN DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
99 RTE 37 W, TOMS RIVER, NJ 08755-6423
(732) 557-8283
Mailing address
99 RTE 37 W, TOMS RIVER, NJ 08755-6423
(732) 557-8283
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00620500
NJ
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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