Provider Demographics
NPI:1891945390
Name:DALGETTY, DONNA EARNICE (MD)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:EARNICE
Last Name:DALGETTY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:570 BELLEVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07109-1308
Mailing Address - Country:US
Mailing Address - Phone:973-450-3100
Mailing Address - Fax:073-450-1189
Practice Address - Street 1:570 BELLEVILLE AVE
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07109-1308
Practice Address - Country:US
Practice Address - Phone:973-450-3100
Practice Address - Fax:073-450-1189
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-22
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA073001002084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry