Individual
JANE GRACE DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
401 MONROE TPKE, MONROE, CT 06468-2276
(203) 452-1063
Mailing address
207 GROVE ST, STRATFORD, CT 06615-7573
(203) 610-1823
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
10317
CT
Other
Enumeration date
06/24/2022
Last updated
06/24/2022
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