Tiffany A Donahue, LDN | |
3400 Civic Center Blvd, Pcam 1 South, Suite 1-300s, Philadelphia, PA 19104-5127 | |
(215) 662-2638 | |
Not Available |
Full Name | Tiffany A Donahue |
---|---|
Gender | Female |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 21 Years |
Location | 3400 Civic Center Blvd, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285059022 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133VN1005X | Dietitian, Registered - Nutrition, Renal | DN003577 (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Penn-medical Group | 6204730955 | 3051 |
Provider Name | University Of Penn-medical Group |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1043670805 PECOS PAC ID: 6204730955 Enrollment ID: O20150221000124 |
Mailing Address | Practice Location Address |
---|---|
Tiffany A Donahue, LDN 3400 Civic Center Blvd, Pcam 1 South, Suite 1-300s, Philadelphia, PA 19104-5127 Ph: (215) 662-2638 | Tiffany A Donahue, LDN 3400 Civic Center Blvd, Pcam 1 South, Suite 1-300s, Philadelphia, PA 19104-5127 Ph: (215) 662-2638 |
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