Individual
GERARD KEVIN DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(202) 444-8518
(202) 444-7161
Mailing address
PO BOX 418283, BOSTON, MA 02241-8283
(703) 558-1400
(703) 558-1445
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD040672
DC
2080P0206X
Pediatric Gastroenterology Physician
10680
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100629430C
—
OK
Enumeration date
02/08/2006
Last updated
02/15/2013
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