Healthcare Provider Details

I. General information

NPI: 1619244951
Provider Name (Legal Business Name): DEBORAH C. LOWDEN DONAHUE R.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/30/2011
Last Update Date: 11/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

283 HERRONTOWN RD
PRINCETON NJ
08540-2928
US

IV. Provider business mailing address

283 HERRONTOWN RD
PRINCETON NJ
08540-2928
US

V. Phone/Fax

Practice location:
  • Phone: 609-240-3243
  • Fax: 609-497-4573
Mailing address:
  • Phone: 609-240-3243
  • Fax: 609-497-4573

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number00608569
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number00608569
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code133VN1005X
TaxonomyRenal Nutrition Registered Dietitian
License Number00608569
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: