Provider Demographics
NPI:1659385144
Name:DONOHUE, ROBERT A III (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:A
Last Name:DONOHUE
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:1262 WHITEHORSE HAMILTON SQUARE RD
Mailing Address - Street 2:STE 2B
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-3711
Mailing Address - Country:US
Mailing Address - Phone:609-585-9595
Mailing Address - Fax:609-585-9444
Practice Address - Street 1:1262 WHITEHORSE HAMILTON SQUARE RD
Practice Address - Street 2:STE 2B
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08690-3711
Practice Address - Country:US
Practice Address - Phone:609-585-9595
Practice Address - Fax:609-585-9444
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2010-07-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA049912207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
57451OtherAETNA
223486084OtherHMO BLUE
985408OtherPHS
D0452274OtherINDEPENDENCE BCBS
1435994OtherUNITED HEALTHCARE
0209045000OtherKEYSTONE AMERIHEALTH
F14593OtherHEALTHNET
F14593OtherPHCS
1243732005OtherCIGNA
ME5287OtherOXFORD
985408OtherPHS
F14593OtherHEALTHNET