Individual
ANDREW DONATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
140 GRANDVIEW AVE STE 101, WATERBURY, CT 06708-2518
(203) 597-9733
(203) 597-9732
Mailing address
140 GRANDVIEW AVE STE 101, WATERBURY, CT 06708-2518
(203) 597-9733
(203) 597-9732
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
S0660
TX
207RN0300X
Nephrology Physician
Primary
1.071028
CT
208M00000X
Hospitalist Physician
S0660
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
398946901
—
TX
Enumeration date
04/06/2016
Last updated
09/23/2022
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