Individual provider · Type 1 NPI

Haven Donovan

Surgical Physician Assistant · Berkeley Heights, NJ

NPI number 1477901817 Active

Practice location

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Physician Assistant 363A00000X25MP00973500 (NJ)
Surgical Physician Assistant Primary 363AS0400X25MP00973500 (NJ)

Surgical Physician Assistant: Definition to come...

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About NPI 1477901817

Haven Donovan's National Provider Identifier is 1477901817, issued on May 26, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Berkeley Heights, NJ. The record was last updated on Nov 10, 2025.