Individual
MS. BRIGHID M DONEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 E LANCASTER AVE, WYNNEWOOD, PA 19096-3450
(484) 476-2900
Mailing address
3521 CHATHAM CT W, JACKSON, NJ 08527-3619
(848) 525-1220
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00223000
NJ
363AM0700X
Medical Physician Assistant
Primary
MA053942
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15507167
CAQH PROVIDER ID
NJ
Enumeration date
12/29/2008
Last updated
03/25/2025
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