Individual
DR. DEVORAH DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
25 COLLINS RD, BRISTOL, CT 06010-3893
(860) 589-8882
Mailing address
44 INDIAN SPRING RD, WOODSTOCK, CT 06281-2606
(860) 810-6971
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
61855
CT
Other
Enumeration date
06/17/2015
Last updated
09/20/2018
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