Colavita, Donato Antonio
Colavita, Donato Antonio is an sole proprietor health care provider with primary practice located at 253 Lafayette St , Newark NJ 07105-2142. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Colavita, Donato Antonio can be contacted via phone (973) 344-6897.Contact Information
Primary practice address
253 Lafayette St
Newark NJ 07105-2142
Phone: (973) 344-6897
Fax: (973) 344-3854
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MA40963 | New Jersey |
Profile Details
| NPI number | 1407811839 |
|---|---|
| LBN Legal business name | Colavita, Donato Antonio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Jul 16th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407811839 | NPPES |
| New Jersey | MEDICAID | 2058804 |
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