Individual
MR. THOMAS ROBERT DONOVAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE ANESTHETIST
Contact information
Practice address
101 DUDLEY ST, PROVIDENCE, RI 02905-2401
(401) 274-1000
Mailing address
663 PEARSE RD, SWANSEA, MA 02777-1214
(508) 673-6350
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA 21489
RI
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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