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Individual

JAMES KENNETH DONALDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
443 SHORE RD, SUITE 103, SOMERS POINT, NJ 08244-2642
(609) 569-7077
Mailing address
443 SHORE RD, SUITE 103, SOMERS POINT, NJ 08244-2642
(609) 569-7077

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB06695700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2080189000
AMERIHEALTH
NJ
01
30028371
KEYSTONE
NJ
01
60018851
HORIZON NJ HEALTH
NJ
05
8483809
NJ
Enumeration date
07/02/2006
Last updated
09/05/2024
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