DONNA JEAN DESTASO

ENGLEWOOD CLIFFS, NJ
NPI1194333534
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NJ  25MP00579800)
Enumeration Date2020-07-22
Last Update Date2023-12-26
Business Address
DONNA JEAN DESTASO
910 SYLVAN AVE STE 100
ENGLEWOOD CLIFFS, NJ 07632-3308
Phone number: 201-569-2770
Mailing Address
DONNA JEAN DESTASO
302 HOPPER CT
FRANKLIN LAKES, NJ 07417-1143
Phone number: 201-805-3763
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