Doctor Name: | CORNELIUS MICHAEL DONOHUE |
NPI Number: | 1417014887 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | SC-001995-L |
Business Practice Address: | 748 Campwoods Rd Villanova, PA - 190851029 |
Business Phone Number: | 6102931969 |
Business Fax Number: | 6102931969 |
Mailing Address: | 748 Campwoods Rd, VILLANOVA |
State: | PA |
Postal Code: | 190851029 |
Phone Number: | 6102931969 |
Fax Number: | 6102931969 |
NPI Enumeration Date: | 01/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | SC-001995-L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |