Individual
CHAD DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 S 8TH ST STE 2L, PHILADELPHIA, PA 19106-4017
(267) 322-7700
Mailing address
3045 GAUL ST, PHILADELPHIA, PA 19134-4336
(267) 241-8843
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN609755
PA
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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