Provider Demographics
NPI:1952302192
Name:GRAFFINO, DONATELLA B (MD)
Entity Type:Individual
Prefix:
First Name:DONATELLA
Middle Name:B
Last Name:GRAFFINO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 SADDLE RD
Mailing Address - Street 2:FIRST FLOOR
Mailing Address - City:CEDAR KNOLLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07927-1902
Mailing Address - Country:US
Mailing Address - Phone:973-267-9393
Mailing Address - Fax:973-540-0472
Practice Address - Street 1:8 SADDLE RD
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:CEDAR KNOLLS
Practice Address - State:NJ
Practice Address - Zip Code:07927-1902
Practice Address - Country:US
Practice Address - Phone:973-267-9393
Practice Address - Fax:973-540-0472
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2007-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04299400207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ121392OtherCHN INS.
NJ223504169008OtherCIGNA INS.
NJ222233003OtherHORIZON BC
NJ4253438OtherAETNA INS.
NJ0B3701OtherEMPIRE HEALTH
NJ030004938OtherRAILROAD MEDICARE
NJP1221005OtherOXFORD INS.
NJ0B3701OtherEMPIRE HEALTH
NJ223504169008OtherCIGNA INS.