Annillo, Donna A

Annillo, Donna A is an sole proprietor health care provider with primary practice located at 933 Garrison Ave , Teaneck NJ 07666-2653. She recently has 4 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is her primary health care specialty. Annillo, Donna A can be contacted via phone (201) 836-0003.

Contact Information

Primary practice address
933 Garrison Ave Teaneck NJ 07666-2653
Phone: (201) 836-0003
Fax: (201) 836-0003
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 25MD00171900 New Jersey
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X 25MD00171900 New Jersey
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 25MD00171900 New Jersey
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 25MD00171900 New Jersey

Profile Details

NPI number 1740224377
LBN Legal business name Annillo, Donna A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2006
Last updated May 3rd, 2012 - about 12 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 1740224377 NPPES
New Jersey MEDICAID 4826507

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