Healthcare Provider Details

I. General information

NPI: 1205894219
Provider Name (Legal Business Name): ALAN ERWIN DONNENFELD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2006
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 CRESSON BLVD STE 300
PHOENIXVILLE PA
19460-6146
US

IV. Provider business mailing address

450 CRESSON BLVD STE 300
PHOENIXVILLE PA
19460-6146
US

V. Phone/Fax

Practice location:
  • Phone: 484-831-0200
  • Fax: 484-831-0209
Mailing address:
  • Phone: 484-831-0200
  • Fax: 484-831-0209

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207SG0201X
TaxonomyClinical Genetics (M.D.) Physician
License NumberMT006828T
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207SG0201X
TaxonomyClinical Genetics (M.D.) Physician
License Number25MA04955700
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code207SG0201X
TaxonomyClinical Genetics (M.D.) Physician
License Number205012-1
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code207SG0201X
TaxonomyClinical Genetics (M.D.) Physician
License NumberC1-0006729
License Number StateDE
# 5
Primary TaxonomyN
Taxonomy Code207SG0201X
TaxonomyClinical Genetics (M.D.) Physician
License Number153714
License Number StateMA
# 6
Primary TaxonomyN
Taxonomy Code207SG0201X
TaxonomyClinical Genetics (M.D.) Physician
License Number037414
License Number StateCT
# 7
Primary TaxonomyY
Taxonomy Code207SG0201X
TaxonomyClinical Genetics (M.D.) Physician
License NumberMD027052E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: