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NPI Code Detail

MEDICARE: DONALD J DEBRAKELEER DO

MEDICARE:   DONALD J DEBRAKELEER  DO
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
1207V00000XObstetrics & Gynecology PhysicianOS007454LPA
2207VF0040XUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianOS007454LPA
3207VF0040XUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician25MB07617800NJ

General Provider Information

NPI Number : 1427049311
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONALD J DEBRAKELEER DO
Provider Business Mailing Address
First Line : 2 CAPITAL WAY STE 407
Second Line :
City : PENNINGTON
State : NJ
Zip : 08534-2521
Country : US
Telephone Number : 609-303-4460
Fax Number : 609-303-4461
Provider Business Practice Location Address
First Line : 2 CAPITAL WAY STE 407
Second Line :
City : PENNINGTON
State : NJ
Zip : 08534-2521
Country : US
Telephone Number : 609-303-4460
Fax Number : 609-303-4461
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2005
Last Update Date : 02/10/2023

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Directions to “ DONALD J DEBRAKELEER DO” Practice Location

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