Provider Demographics
NPI:1366598088
Name:AGNEW, DONNA (PA-C)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:AGNEW
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Gender:F
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:PO BOX 375
Mailing Address - Street 2:5049 SWAMP RD
Mailing Address - City:FOUNTAINVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18923-0375
Mailing Address - Country:US
Mailing Address - Phone:215-230-8390
Mailing Address - Fax:215-230-8392
Practice Address - Street 1:1456 FERRY RD
Practice Address - Street 2:SUITE 600
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2391
Practice Address - Country:US
Practice Address - Phone:215-230-8390
Practice Address - Fax:215-249-3469
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMA002951L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine