Organization
PETER DONSHIK MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER DONSHIK M.D. (OWNER)
(860) 286-5448
Entity
Organization
Contact information
Practice address
47 JOLLEY DR, BLOOMFIELD, CT 06002-3092
(860) 286-5448
(860) 286-5449
Mailing address
47 JOLLEY DRIVE, BLOOMFIELD, CT 06002
(860) 286-5448
(860) 286-5449
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
634430
CT
Other
Enumeration date
02/14/2008
Last updated
04/22/2010
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