Provider Demographics
NPI:1265691190
Name:LOMBARDI-GOLDFUS, DONNA J (MD)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:J
Last Name:LOMBARDI-GOLDFUS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DONNA
Other - Middle Name:J
Other - Last Name:LOMBARDI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:50 OVERLOOK RIDGE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:NJ
Mailing Address - Zip Code:07436
Mailing Address - Country:US
Mailing Address - Phone:201-651-1016
Mailing Address - Fax:201-657-1019
Practice Address - Street 1:50 OVERLOOK RIDGE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:NJ
Practice Address - Zip Code:07436
Practice Address - Country:US
Practice Address - Phone:201-651-1016
Practice Address - Fax:201-657-1019
Is Sole Proprietor?:No
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06402800208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics