Provider Demographics
NPI:1891994471
Name:DONAHUE, FLOYD J (MD)
Entity Type:Individual
Prefix:
First Name:FLOYD
Middle Name:J
Last Name:DONAHUE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 TEMPLAR WAY
Mailing Address - Street 2:
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-3722
Mailing Address - Country:US
Mailing Address - Phone:908-273-6364
Mailing Address - Fax:908-273-3911
Practice Address - Street 1:50 TEMPLAR WAY
Practice Address - Street 2:
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-3722
Practice Address - Country:US
Practice Address - Phone:908-273-6364
Practice Address - Fax:908-273-3911
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery