MR. Mark Thomas Donovan
NPI #1568736775 in South Boston, Massachusetts
Provider Information
- NPI Number
- 1568736775
- Entity Type
- Individual
- Name
- MR. Mark Thomas Donovan
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Mar 6, 2012
- Last Updated
- Mar 6, 2012
Practice Location
- Address
- 666 E BROADWAY
- City
- South Boston
- State
- Massachusetts
- ZIP Code
- 02127-1502
- Phone
- (617) 239-4354
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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