Provider Demographics
NPI:1205894219
Name:DONNENFELD, ALAN ERWIN (MD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:ERWIN
Last Name:DONNENFELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 CRESSON BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460-6146
Mailing Address - Country:US
Mailing Address - Phone:484-831-0200
Mailing Address - Fax:484-831-0209
Practice Address - Street 1:450 CRESSON BLVD STE 300
Practice Address - Street 2:
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460-6146
Practice Address - Country:US
Practice Address - Phone:484-831-0200
Practice Address - Fax:484-831-0209
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT006828T207SG0201X
NJ25MA04955700207SG0201X
NY205012-1207SG0201X
DEC1-0006729207SG0201X
MA153714207SG0201X
CT037414207SG0201X
PAMD027052E207SG0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA00108294Medicaid
PA1652891OtherBC/BS HIGHMARK GROUP
PA2330386000OtherBC/BS KEY, PER. GROUP
PA30018989OtherKEYSTONE MERCY GROUP
PA3971180OtherAETNA US HEALTHCARE HMO
PA33658OtherHEALTH PARTNERS
PA33659OtherHEALTH PARTNERS
PA0078843000OtherBC/BS KEYSTONE, PERSONAL
PA096008OtherBC/BS SHIELD HIGHMARK
PA3716959OtherAETNA US HEALTHCARE GROUP
PA30023531OtherKEYSTONE MERCY
PA33657OtherHEALTH PARTNERS
PA4100924OtherAETNA US HEALTHCARE
B36247Medicare UPIN
PA33657OtherHEALTH PARTNERS