Individual
LAURA DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
41 WAHCONAH ST, PITTSFIELD, MA 01201-2627
(413) 499-8575
Mailing address
41 WAHCONAH ST, PITTSFIELD, MA 01201-2627
(802) 265-1253
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
1014310
MA
390200000X
Student in an Organized Health Care Education/Training Program
64011
NY
Other
Enumeration date
03/23/2018
Last updated
08/08/2023
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