Individual
MR. JACOB PAUL DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6 TSIENNETO RD STE 100, DERRY, NH 03038
(603) 537-1300
Mailing address
6 BUTTRICK RD STE 102, LONDONDERRY, NH 03053-3417
(603) 537-1300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1220
NH
Other
Enumeration date
10/30/2016
Last updated
11/13/2023
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