Provider Demographics
NPI:1184855926
Name:HUNTINGTON, DONALD ALFRED JR (DMSC)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:ALFRED
Last Name:HUNTINGTON
Suffix:JR
Gender:M
Credentials:DMSC
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Mailing Address - Street 1:301 LIPPINCOTT DR STE 410
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4197
Mailing Address - Country:US
Mailing Address - Phone:856-355-0340
Mailing Address - Fax:856-355-0330
Practice Address - Street 1:218 SUNSET RD FL 5
Practice Address - Street 2:
Practice Address - City:WILLINGBORO
Practice Address - State:NJ
Practice Address - Zip Code:08046-1110
Practice Address - Country:US
Practice Address - Phone:856-355-0241
Practice Address - Fax:856-762-2749
Is Sole Proprietor?:No
Enumeration Date:2009-07-28
Last Update Date:2024-08-06
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Provider Licenses
StateLicense IDTaxonomies
NH0898363A00000X
NJ25MP0052300363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3082963Medicaid
NH32001703Medicaid
NH32001703Medicaid