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Contact Information

KENNETH J DONOVAN, D.P.M
9 MOUNT BETHEL RD
SUITE 9
WARREN, NJ07059-5603
 Phone: 908-605-0799
 Fax: 908-450-1558
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for KENNETH J DONOVAN · (Male)

NPI Number 1588804132
Status Active
Credentials D.P.M
Entity Individual
Enumeration date 02/23/2009
Last updated 02/03/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MD00302600
  • NJ Medicaid 0231622
Hospital affiliation(s)
  • LAWRENCE & MEMORIAL HOSPITAL - (Acute Care)
    365 MONTAUK AVE
    NEW LONDON, CT 06320
  • 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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