Provider Demographics
NPI:1306838578
Name:CATANZARO, DONNA (MD)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:CATANZARO
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 1:454 ELIZABETH AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-5111
Mailing Address - Country:US
Mailing Address - Phone:908-685-2526
Mailing Address - Fax:908-685-2527
Practice Address - Street 1:454 ELIZABETH AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-5111
Practice Address - Country:US
Practice Address - Phone:908-685-2526
Practice Address - Fax:908-685-2527
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA08882700207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ214399Medicare PIN