MEDICARE: DR. DONALD ALFRED HUNTINGTON JR. DMSC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	25MP0052300	NJ
2	363A00000X	Physician Assistant	0898	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184855926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONALD ALFRED HUNTINGTON JR. DMSC

Provider Business Mailing Address
First Line	:	301 LIPPINCOTT DR STE 410
Second Line	:
City	:	MARLTON
State	:	NJ
Zip	:	08053-4197
Country	:	US
Telephone Number	:	856-355-0340
Fax Number	:	856-355-0330

Provider Business Practice Location Address
First Line	:	100 CAMPUS TOWN CIR STE 100
Second Line	:
City	:	EWING
State	:	NJ
Zip	:	08638-1962
Country	:	US
Telephone Number	:	609-799-7009
Fax Number	:	609-799-7808

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2009
Last Update Date	:	03/12/2026

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