Individual
THOMAS M DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
55 DIMOCK ST, ROXBURY, MA 02119-1029
(617) 442-8800
(617) 541-8472
Mailing address
55 DIMOCK ST, ROXBURY, MA 02119-1029
(617) 442-8800
(617) 541-8472
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
156403
MA
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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