Individual
HAILEE DONOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
150 BERGEN ST, NEWARK, NJ 07103-2496
(973) 972-9386
(973) 972-4674
Mailing address
50 CHELSEA AVE APT 7-308, LONG BRANCH, NJ 07740-8172
(201) 341-4515
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00469600
NJ
Other
Enumeration date
06/08/2018
Last updated
06/08/2018
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