Organization Name: | SCOTT DONOFRIO MD |
NPI Number: | 1821461609 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SCOTT DONOFRIO (DIRECTOR) |
Mailing Address: | 32 N Main St Pennington |
State: | NJ US |
Postal Code: | 085342230 |
Phone Number: | 6094744660 |
Fax Number: | |
NPI Enumeration Date: | 11/03/2015 |
NPI Last Update Date: | 01/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | 25MA08893200 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |