Doctor Name: | EDWARD B DIDONATO |
NPI Number: | 1578546545 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | OD |
License Number: | |
Business Practice Address: | 1700 Whitehorse Hamilton Square Rd Hamilton Square, NJ - 086903536 |
Business Phone Number: | 6095872020 |
Business Fax Number: | 6095889545 |
Mailing Address: | 1700 Whitehorse Hamilton Square Rd, HAMILTON SQUARE |
State: | NJ |
Postal Code: | 086903536 |
Phone Number: | 6095872020 |
Fax Number: | 6095889545 |
NPI Enumeration Date: | 11/23/2005 |
NPI Last Update Date: | 09/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |