Pisera, Donna M

Pisera, Donna M is an individual health care provider with primary practice located at 102 Centre Blvd , Marlton NJ 08053-4129. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Pisera, Donna M can be contacted via phone (856) 988-6260.

Contact Information

Primary practice address
102 Centre Blvd Marlton NJ 08053-4129
Fax: (856) 988-6270
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MA46187 New Jersey

Profile Details

NPI number 1972501955
LBN Legal business name Pisera, Donna M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972501955 NPPES
New Jersey MEDICAID 7450605

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