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General NPI Number Information
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NPI Number | 1295824563
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Entity Type | Individual
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Provider Name | DONNA L KLITZMAN MD
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Gender | Female
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 07/22/2010
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Provider Practice Location Address
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Address Line | 593 CRANBURY ROAD SUITE 1A
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816
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Country | US
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Telephone | 732-613-8880
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Fax | 732-613-0077
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Provider Business Mailing Address
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Address Line | 593 CRANBURY ROAD SUITE 1A
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816
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Country | US
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Telephone | 732-613-8880
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Fax | 732-613-0077
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | MA066508
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License Number State | NJ
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