Individual
DR. JASON MICHAEL DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5000
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5000
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
53569
CT
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
18241
NH
Other
Enumeration date
02/15/2011
Last updated
04/09/2019
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