Individual
DONNA MARIE PELLERIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
24 HOSPITAL AVE, DANBURY, CT 06810-6099
(203) 797-7443
Mailing address
24 HOSPITAL AVE, DANBURY, CT 06810-6099
(203) 797-7443
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
042430
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010042430CT01
ANTHEM
CT
01
—
2201115
CIGNA BEHAVIORAL HEALTH
CT
01
—
347500
MANAGED HEALTH NETWORK
CT
01
—
9352243
PHCS
CT
Enumeration date
06/10/2006
Last updated
07/08/2007
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