Individual
PAUL DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
71 HOSPITAL AVE, NORTH ADAMS, MA 01247-2504
(413) 664-5000
Mailing address
71 HOSPITAL AVE, NORTH ADAMS, MA 01247-2504
(413) 664-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
53990
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J09490
BXBS
—
Enumeration date
05/11/2006
Last updated
09/28/2007
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