Organization
SCOTT DONOFRIO MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT DONOFRIO M.D. (DIRECTOR)
(575) 418-8109
Entity
Organization
Contact information
Practice address
32 N MAIN ST, PENNINGTON, NJ 08534-2230
(609) 474-4660
Mailing address
32 N MAIN ST, PENNINGTON, NJ 08534-2230
(609) 474-4660
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
25MA08893200
NJ
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
25MA08893200
NJ
2084P0005X
Neurodevelopmental Disabilities Physician
25MA08893200
NJ
2084P0015X
Psychosomatic Medicine Physician
25MA08893200
NJ
2084P0800X
Psychiatry Physician
Primary
25MA08893200
NJ
2084P0802X
Addiction Psychiatry Physician
25MA08893200
NJ
2084P0804X
Child & Adolescent Psychiatry Physician
25MA08893200
NJ
2084P0805X
Geriatric Psychiatry Physician
25MA08893200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33905258
—
NM
Enumeration date
11/03/2015
Last updated
01/14/2016
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