SAMUEL EDWIN DONOVAN

PAWTUCKET, RI
NPI1215433230
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: RI  LP04395)
Enumeration Date2018-03-30
Last Update Date2018-07-06
Business Address
SAMUEL EDWIN DONOVAN
111 BREWSTER ST
PAWTUCKET, RI 02860
Phone number: 401-729-2304
Mailing Address
SAMUEL EDWIN DONOVAN
304 SCHOOL ST
WATERTOWN, MA 02472-1415
Phone number: 617-549-4262
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