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Individual

DR. FRED M DONKOH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
21 GRAND ST, HARTFORD, CT 06106-1541
(860) 550-7500
(860) 550-7515
Mailing address
21 GRAND ST, HARTFORD, CT 06106-1541
(860) 550-7500
(860) 550-7515

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
181815
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01190683
NY
Enumeration date
10/06/2006
Last updated
03/30/2017
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