Basic Information
Provider Information
NPI: 1801803416
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DONAHOO
FirstName: JAMES
MiddleName: SAUNDERS
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 71 HILLCREST AVE
Address2:  
City: SUMMIT
State: NJ
PostalCode: 079012012
CountryCode: US
TelephoneNumber: 9082771955
FaxNumber:  
Practice Location
Address1: 385 TREMONT AVE
Address2:  
City: EAST ORANGE
State: NJ
PostalCode: 070181023
CountryCode: US
TelephoneNumber: 9736761000
FaxNumber: 9733957193
Other Information
ProviderEnumerationDate: 08/03/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208G00000X25MA05273400NJY Allopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery) 

No ID Information.


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