Individual
JOHN P DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 E MANNING ST, PROVIDENCE, RI 02906-5109
(401) 272-2020
(401) 421-5979
Mailing address
150 E MANNING ST, PROVIDENCE, RI 02906-5109
(401) 272-2020
(401) 421-5979
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD10345
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0800704
UNITED
RI
01
—
0859
NHP RI GROUP #
RI
01
—
152346
HARVARD
RI
01
—
1566940
CIGNA
RI
01
—
180042875
RAILROAD MEDICARE
RI
01
—
205714
TUFTS
RI
01
—
26587
RI BLUE SHIELD
RI
01
—
3805
NEIGHBORHOOD RI
RI
01
—
407086
BLUE CHIP
RI
01
—
5841743
AETNA
RI
01
—
603940
TUFTS GROUP #
RI
05
—
7008251
—
RI
05
—
9001520
—
RI
01
—
J22516
MASS BLUE SHIELD
RI
01
—
M17477
BCBS MASS GROUP #
MA
Enumeration date
12/22/2005
Last updated
05/03/2012
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