Individual
ANDREW DALLAHAN DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
300 MOUNT AUBURN ST, SUITE 517, CAMBRIDGE, MA 02138-5600
(617) 868-0847
Mailing address
300 MOUNT AUBURN ST, SUITE 517, CAMBRIDGE, MA 02138-5600
(617) 492-3500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2299079
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2299079
MA
Other
Enumeration date
08/09/2016
Last updated
10/17/2016
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