Provider Demographics
NPI:1699758052
Name:DONIGUIAN, ANN ELIZABETH (MD)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:ELIZABETH
Last Name:DONIGUIAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 144333
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32814-4333
Mailing Address - Country:US
Mailing Address - Phone:407-422-9831
Mailing Address - Fax:407-648-2065
Practice Address - Street 1:703 MAIN ST
Practice Address - Street 2:DEPT. OF PATHOLOGY
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07503-2621
Practice Address - Country:US
Practice Address - Phone:973-754-2000
Practice Address - Fax:973-754-3649
Is Sole Proprietor?:No
Enumeration Date:2005-11-21
Last Update Date:2007-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06226500207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
220031498OtherRAILROAD MEDICARE
NJ8090602Medicaid
NJ8090602Medicaid
NJ801393Medicare PIN