Individual
MARLO DIDONNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 COOPER PLZ, DEPT OF ANESTHESIA, CAMDEN, NJ 08103-1461
(856) 342-2425
(856) 968-8239
Mailing address
1 FEDERAL ST, SUITE SW200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00196600
NJ
367500000X
Certified Registered Nurse Anesthetist
NO116084
NJ
367500000X
Certified Registered Nurse Anesthetist
RN353713L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01000736500
AMERICHOICE
NJ
01
—
NJ00196600
STATE LICENSE
NJ
Enumeration date
10/13/2006
Last updated
10/07/2019
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