Individual
DR. DONNA MARIE TESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 SPRUCE ST, SUITE 100, KULPMONT, PA 17834-1234
(570) 373-2100
(570) 373-2101
Mailing address
1100 SPRUCE ST, SUITE 100, KULPMONT, PA 17834-1234
(570) 373-2100
(570) 373-2101
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD019263E
PA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MD019263E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006637380005
—
PA
01
—
50045077
CAPITAL BLUE CROSS
PA
01
—
TE147657
HIGHMARK BLUE SHIELD
PA
Enumeration date
07/11/2006
Last updated
12/28/2011
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