Derek Donovan, PA-C

NPI #1417324930 in Moodus, Connecticut

Provider Information

NPI Number: 1417324930
Entity Type: Individual
Name: Derek Donovan, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 1, 2015
Last Updated: Apr 12, 2017

Practice Location

Address: 27 WILLIAM F PALMER RD
City: Moodus
State: Connecticut
ZIP Code: 06469-1132
Phone: (860) 873-1414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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