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Individual

DR. HENRY P DONNON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4 TWIN HILL DRIVE, WILLINGBORO, NJ 08046
(609) 877-5088
(609) 877-2177
Mailing address
4 TWIN HILL DRIVE, WILLINGBORO, NJ 08046
(609) 877-5088
(609) 877-2177

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
25MA02237900
NJ
208D00000X
General Practice Physician
MD010442E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0078871002
AMERIHEALTH
01
1072464
HORIZON MERCY
01
1094758
CIGNA PLAN CODE 030
01
2137
AETNA USHC
01
222005560
TAX ID
01
243010895601
STATE ID
01
47133
AETNA USHC
05
4880609
NJ
01
89521
AMERIGROUP ID
01
D02644900
NJCDS
NJ
Enumeration date
07/20/2006
Last updated
03/07/2023
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