Provider Demographics
NPI:1548458003
Name:D'ONOFRIO, DAWN MARIA (MS)
Entity type:Individual
Prefix:MISS
First Name:DAWN
Middle Name:MARIA
Last Name:D'ONOFRIO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 LONG HILL RD
Mailing Address - Street 2:UNIT 3-C
Mailing Address - City:LITTLE FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-2050
Mailing Address - Country:US
Mailing Address - Phone:203-219-8854
Mailing Address - Fax:
Practice Address - Street 1:450 ATLANTIC AVE
Practice Address - Street 2:MATAWAN HIGH SCHOOL
Practice Address - City:ABERDEEN
Practice Address - State:NJ
Practice Address - Zip Code:07747-2326
Practice Address - Country:US
Practice Address - Phone:732-705-5307
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-10
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MT001385002255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer