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Dr. Leslie A Donovan, MD
Specialist in Greenwich, Connecticut
NPI 1134194046

Leslie A Donovan is a Specialist based in Greenwich, CT. Leslie A Donovan practices in Greenwich, CT and has the professional credentials of MD. The NPI Number for Leslie A Donovan is 1134194046 and holds a License No. 036691 (Connecticut).

The current practice location address for Leslie A Donovan is 159 W Putnam Ave, Greenwich, CT and can be reached out via phone at 203-869-7080 and via fax at 203-869-7034.

Location: 159 W Putnam Ave, Greenwich, CT, 06830-4607
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134194046
Provider Name
Leslie A Donovan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
159 W Putnam Ave, Greenwich, CT, 06830-4607
Phone Number
203-869-7080
Fax Number
203-869-7034
Provider Enumeration Date
02/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010036691CT01 01 CT ANTHEM BCBS OF CT
CU5884 01 CT HEALTHNET
P1839314 01 CT OXFORD
036691 01 CT CONNECTICARE
2065341 01 CT AETNA
institution
Provider Business Practice Location Address Details
Address
159 W Putnam Ave
City
Greenwich
State
Connecticut
Zip
06830-5329
Phone Number
203-869-7080
Fax Number
203-869-7034
person
Provider Business Mailing Address Details
Address
159 W Putnam Ave
City
Greenwich
State
Connecticut
Zip
06830-5329
Phone Number
203-869-7080
Fax Number
203-869-7034
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
036691 (Connecticut)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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