Individual
THERESE A. DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
325 CENTRAL AVE STE 200, MALVERN, PA 19355-3265
(610) 644-6755
Mailing address
201 N MORGAN AVE, HAVERTOWN, PA 19083-5009
(610) 955-5338
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA059740
PA
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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