Individual
ALTHEA A DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1400 BLACKHORSE HILL RD, COATESVILLE, PA 19320-2040
(610) 384-7711
Mailing address
555 SPRING OAK DR, WEST CHESTER, PA 19382-1758
(610) 574-5947
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD040071L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014180930010
—
PA
01
—
0650940000
PERSONAL CHOICE
PA
01
—
260049964
RAILROAD MEDICARE
PA
Enumeration date
01/30/2007
Last updated
11/17/2022
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