Individual
EDWARD B DIDONATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1700 WHITEHORSE HAMILTON SQUARE RD, HAMILTON SQUARE, NJ 08690-3536
(609) 587-2020
(609) 588-9545
Mailing address
1700 WHITEHORSE HAMILTON SQUARE RD, HAMILTON SQUARE, NJ 08690-3536
(609) 587-2020
(609) 588-9545
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0A04122
NJ
152WC0802X
Corneal and Contact Management Optometrist
TO 00027
NJ
156F00000X
Technician/Technologist
27TO00002700
NJ
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0071821000
AMERIHEALTH
—
01
—
0887782006
CIGNA
—
01
—
1037295
HORIZON NJ HEALTH
—
01
—
1339341
UNITED HEALTHCARE
—
01
—
2451818
AETNA
—
01
—
25428
MASTERCARE
—
05
—
3161102
—
NJ
01
—
334893
ONE HEALTHPLAN
—
01
—
C47971
WELLCHOICE
—
01
—
F09964
HEALTHNET
—
01
—
NJ4122
EYEMED
—
01
—
P634252
OXFORD
—
Enumeration date
11/23/2005
Last updated
09/18/2012
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