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Contact Information

DONOVAN MATALIE, DNP, CRNA
1 COOPER PLZ
CAMDEN, NJ08103-1461
 Phone: 856-963-6770
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for DONOVAN MATALIE · (Male)

NPI # 1558930982
Status Active
Credentials DNP, CRNA
Entity Individual
Enumeration date 06/21/2021
Last updated 05/20/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NJ License # 26NJ01158600
  • NY License # 676117
  • PA License # RN693672
Hospital affiliation(s)
  • SAINT BARNABAS MEDICAL CENTER - (Acute Care)
    94 OLD SHORT HILLS ROAD
    LIVINGSTON, NJ 07039
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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