Donna M Heinzen, PA
Physician Assistant in Glen Ridge, NJ. Individual provider (NPI-1).
NPI number1649366162
StatusActive
Last updated in NPPESOct 3, 2019
Details
- NPI
- 1649366162
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Donna M Heinzen
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2006
- Last updated
- Oct 3, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 25MP00037900 | NJ | Yes |
Practice location
905 Bloomfield AveGlen Ridge, NJ 07028-1329
Phone 973-715-2176
Mailing address
Po Box 273Whippany, NJ 07981-0273
Phone 973-535-8355 · Fax 973-535-8353
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All 10 Physician Assistant providers in Glen Ridge · All 224 providers in Glen Ridge
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