Healthcare Provider Details

I. General information

NPI: 1548228851
Provider Name (Legal Business Name): DONNA M MURATSCHEW MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 03/07/2023
Certification Date: 11/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

249 S MAIN ST STE 2
BARNEGAT NJ
08005-2369
US

IV. Provider business mailing address

401 ROUTE 73 N STE 320
MARLTON NJ
08053-3426
US

V. Phone/Fax

Practice location:
  • Phone: 609-607-1010
  • Fax:
Mailing address:
  • Phone: 201-487-8222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number25MA05243100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: