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Individual

DR. DEAN MICHAEL DONAHUE

Active
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Individual

DR. DEAN MICHAEL DONAHUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
73115
MA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
73115
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3164071
—
MA
01
—
724821
TUFTS HEALTH PLAN
MA
01
—
J17268
BCBS MA
MA
Enumeration date
02/24/2006
Last updated
11/13/2012
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