Individual
WILLIAM DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
326 WASHINGTON ST, NORWICH, CT 06360-2740
(860) 823-6303
Mailing address
101 N PLAINS INDUSTRIAL RD, WALLINGFORD, CT 06492-2360
(203) 949-2700
(203) 949-2712
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35355
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1353557
—
CT
Enumeration date
09/27/2005
Last updated
09/06/2018
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