Provider Demographics
NPI:1376989681
Name:EAST WINDSOR LAWRENCEVILLE FOOT & ANKLE PC
Entity Type:Organization
Organization Name:EAST WINDSOR LAWRENCEVILLE FOOT & ANKLE PC
Other - Org Name:DR. DONNA BARRESE DPM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PODIATRIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BARRESE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:609-512-1126
Mailing Address - Street 1:PO BOX 6566
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-0566
Mailing Address - Country:US
Mailing Address - Phone:609-512-1126
Mailing Address - Fax:609-512-1639
Practice Address - Street 1:2633 MAIN ST STE 202
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-1086
Practice Address - Country:US
Practice Address - Phone:609-512-1126
Practice Address - Fax:609-512-1639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-14
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMD002093213E00000X
213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty