Individual
RICHARD M DONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
100 N 20TH ST, SUITE 301, PHILADELPHIA, PA 19103-1443
(215) 567-2422
(215) 561-0959
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA03778900
NJ
208000000X
Pediatrics Physician
MD017514E
PA
2080P0202X
Pediatric Cardiology Physician
25MA03778900
NJ
2080P0202X
Pediatric Cardiology Physician
Primary
MD017514E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000665231
—
PA
05
—
2530805
—
NJ
Enumeration date
07/24/2006
Last updated
03/21/2012
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