Individual
SAM T DONTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
90 TER HEUN DR, FALMOUTH, MA 02540-2533
(508) 539-6666
(508) 540-0133
Mailing address
PO BOX 905, FALMOUTH, MA 02541
(508) 548-8989
(508) 548-5789
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
30022
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030022
TUFTS HEALTH
MA
05
—
3016587
—
MA
01
—
66274UH
HARVARD PILGRIM
MA
Enumeration date
05/09/2006
Last updated
02/11/2010
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