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Individual

VINCENT DONNABELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2 LINCOLN HWY STE 301, EDISON, NJ 08820-3904
(732) 549-7380
Mailing address
3600 ROUTE 66 FL 3, NEPTUNE, NJ 07753-2645
(732) 807-0877

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
25MA66732000
NJ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MA06673200
NJ
207RP1001X
Pulmonary Disease Physician
Primary
25MA06673200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0324931
NJ
01
1710988860
RAIL ROAD MEDICARE
NJ
01
222233003
HORIZON BC
NJ
01
3715019
AETNA INS.
NJ
Enumeration date
08/10/2005
Last updated
04/13/2026
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