Individual
DR. LESLIE A DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
75 HOLLY HILL LN STE 305, GREENWICH, CT 06830-2918
(203) 869-7080
(203) 869-7034
Mailing address
75 HOLLY HILL LN STE 305, GREENWICH, CT 06830-2918
(203) 869-7080
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036691
CT
174400000X
Specialist
225840-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010036691CT01
ANTHEM BCBS OF CT
CT
01
—
036691
CONNECTICARE
CT
01
—
060870439
POMCO
CT
01
—
2065341
AETNA
CT
01
—
CU5884
HEALTHNET
CT
01
—
P1839314
OXFORD
CT
Enumeration date
02/22/2006
Last updated
05/11/2026
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