Healthcare Provider Details

I. General information

NPI: 1508931098
Provider Name (Legal Business Name): ANASTASIA M DONNELLY ANPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANASTASIA M DOWLING

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2131 HIGHWAY 33
HAMILTON NJ
08690
US

IV. Provider business mailing address

2131 RT 33 LEXINGTON SQUARE COMMONS
HAMILTON NJ
08690
US

V. Phone/Fax

Practice location:
  • Phone: 609-585-4900
  • Fax: 609-585-5490
Mailing address:
  • Phone: 609-585-4900
  • Fax: 609-585-4902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number26NJ00079400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: