Samuel Edwin Donovan

NPI #1215433230 in Pawtucket, Rhode Island

Provider Information

NPI Number: 1215433230
Entity Type: Individual
Name: Samuel Edwin Donovan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Enumeration Date: Mar 30, 2018
Last Updated: Jul 6, 2018

Practice Location

Address: 111 BREWSTER ST
City: Pawtucket
State: Rhode Island
ZIP Code: 02860
Phone: (401) 729-2304

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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