Individual
MICHAEL DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.P.
Contact information
Practice address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4306
(215) 590-3749
(215) 590-3500
Mailing address
2450 ROSEMORE AVE, GLENSIDE, PA 19038-3525
(215) 576-5348
(215) 576-5348
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP 000693B
PA
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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