Individual
DENISE DONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
54 BAKER AVENUE EXT STE 200, CONCORD, MA 01742-2137
(978) 369-5391
Mailing address
54 BAKER AVENUE EXT STE 200, CONCORD, MA 01742-2137
(978) 369-5391
(978) 369-7661
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA6788
MA
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA6788
MASSACHUSETTS PA LICENSE
MA
Enumeration date
09/04/2018
Last updated
12/09/2023
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