Individual
PAMELA J DONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 CRAIG RD, MANALAPAN, NJ 07726-3250
(732) 414-2991
(732) 414-2995
Mailing address
484 TEMPLE HILL RD, SUITE 104, NEW WINDSOR, NY 12553-5557
(845) 565-3700
(845) 565-3696
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00281500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008970
LICENSE NUMBER
NY
01
—
25MP00281500
LICENSE NUMBER
NJ
01
—
MA057455
LICENSE NUMBER
PA
Enumeration date
10/29/2015
Last updated
01/08/2016
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