| NPI | 1124546221 |
|---|---|
| Other Name | ANDREW JOSEPH DONOFRIO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110010078) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085006333) |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2024-07-10 |