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Physician Compare National (NPI:1386657971)

HEALTHCARE PROVIDER: DONNA MARIA DEPHILLIPS M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1386657971
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1355534157
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20101026000113
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name DEPHILLIPS
Individual professional last name
Provider First Name DONNA
Individual professional first name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name NEW YORK MEDICAL COLLEGE
Individual professional's medical school
Graduation Year 1993
Individual professional's medical school graduation year
Primary Specialty PHYSICAL MEDICINE AND REHABILITATION
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 7 WESTMINSTER PL
Group Practice or individual's line 1 address
City OLD TAPPAN
Group Practice or individual's city
State NJ
Group Practice or individual's state
Zip Code 076756807
Group Practice or individual's zip code (9 digits when available)
Phone Number 2014174931
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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