Provider Demographics
NPI:1831104488
Name:ROBERT A DONOHUE MD PA
Entity Type:Organization
Organization Name:ROBERT A DONOHUE MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:DONOHUE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-585-9595
Mailing Address - Street 1:1262 WHITEHORSE HAMILTON SQUARE RD
Mailing Address - Street 2:BLG 2 SUITE 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:BLG 2 SUITE 2B
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08690
Practice Address - Country:US
Practice Address - Phone:609-585-9595
Practice Address - Fax:609-585-9444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2012-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1047066OtherHORIZON NJ HEALTH
NJ0209045000OtherAMERIHEALTH
NJMES287OtherOXFORD
NJ2389401Medicaid
NJ452274Medicare ID - Type Unspecified
NJMES287OtherOXFORD