Provider Demographics
NPI:1083606701
Name:DONALDSON, VALERIE P (MD)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:P
Last Name:DONALDSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3447 HARTS RUN RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:GLENSHAW
Mailing Address - State:PA
Mailing Address - Zip Code:15116-3027
Mailing Address - Country:US
Mailing Address - Phone:412-767-9890
Mailing Address - Fax:412-767-9451
Practice Address - Street 1:3447 HARTS RUN RD
Practice Address - Street 2:SUITE C
Practice Address - City:GLENSHAW
Practice Address - State:PA
Practice Address - Zip Code:15116-3027
Practice Address - Country:US
Practice Address - Phone:412-767-9890
Practice Address - Fax:412-767-9451
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-18
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD042083L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA647100OtherHIGHMARK
PA647100QTRMedicare ID - Type UnspecifiedHGSADMINISTRATORS
PA647100OtherHIGHMARK