Provider Demographics
NPI:1609029388
Name:MERLO, DONNA FRANCES (PA)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:FRANCES
Last Name:MERLO
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Gender:F
Credentials:PA
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Mailing Address - Street 1:66 W GILBERT ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:TINTON FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-4947
Mailing Address - Country:US
Mailing Address - Phone:732-212-0051
Mailing Address - Fax:732-212-0713
Practice Address - Street 1:125 PATERSON ST
Practice Address - Street 2:SUITE 4100
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-1962
Practice Address - Country:US
Practice Address - Phone:732-235-7806
Practice Address - Fax:732-235-7013
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2011-06-24
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Provider Licenses
StateLicense IDTaxonomies
NJ25MP00031900363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ204654C50Medicare PIN