Active NPIIndividual provider

Samuel E Donovan

Family Medicine in Pawtucket, Rhode Island

NPI Number1215433230
Practice location
111 Brewster St, Pawtucket, RI 02860
Fax
—
Last updated
July 6, 2018

Samuel Edwin Donovan is a Family Medicine based in Pawtucket, RI. Samuel Edwin Donovan practices in Pawtucket, RI. The NPI Number for Samuel Edwin Donovan is 1215433230 and holds a License No. LP04395 (RI). The current practice location address for Samuel Edwin Donovan is 111 Brewster St, Pawtucket, RI 02860 and can be reached out via phone at 401-729-2304.

Provider Profile Details

NPI Number
1215433230
Provider Name
Samuel Edwin Donovan
Provider Entity Type
Individual
Gender
Male
Address
111 Brewster St, Pawtucket, RI 02860
Phone Number
401-729-2304
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
March 30, 2018
Last Update Date
July 6, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Brewster St
Pawtucket, RI 02860
Zip
02860
Phone Number
401-729-2304
Pawtucket, RI 02860Get directions →

Provider Business Mailing Address Details

Address
304 School St
Watertown, MA 02472-1415
City
Watertown
State
MA
Zip
02472-1415
Phone Number
617-549-4262

License Information

License Number
LP04395
License State
RI
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Samuel E Donovan?

The NPI number of Samuel E Donovan is 1215433230. It was assigned on March 30, 2018 and is currently active in the NPPES registry.

What is the specialty of Samuel E Donovan?

Samuel E Donovan is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in RI under license number LP04395.

Where does Samuel E Donovan practice?

The practice location is 111 Brewster St, Pawtucket, RI 02860. The office can be reached at 401-729-2304 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215433230 directly on the NPPES registry website.

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