Individual
JOHN K. DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 LAKE AVE N, DEPARTMENT OF CARDIOLOGY, WORCESTER, MA 01655-0002
(508) 334-3452
(774) 441-7657
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
257122
MA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
257122
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110097208A
—
MA
05
—
2598587
—
OH
Enumeration date
07/07/2006
Last updated
07/02/2025
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