Individual
MRS. DONNA M HEINZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
905 BLOOMFIELD AVE, GLEN RIDGE, NJ 07028-1329
(973) 715-2176
Mailing address
PO BOX 273, WHIPPANY, NJ 07981-0273
(973) 535-8355
(973) 535-8353
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00037900
NJ
Other
Enumeration date
10/04/2006
Last updated
10/03/2019
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