Individual
SAMANTHA DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
75 FRANCIS STREET, CARDIOVASCULAR MEDICINE: PBB-1, BOSTON, MA 02115
(617) 732-8732
Mailing address
130 BOWDOIN ST APT 506, BOSTON, MA 02108-2722
(781) 201-9300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA6237
MA
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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