SHANNON LOUISE DONOVAN MAZUR

NEW HAVEN, CT
NPI1225491152
Former NameSHANNON LOUISE DONOVAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CT  66655)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: MA  267966)
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CT  66655)
Enumeration Date2016-03-29
Last Update Date2021-09-03
Business Address
Dr. SHANNON LOUISE DONOVAN MAZUR D.O
20 YORK ST
NEW HAVEN, CT 06510-3220
Phone number: 203-688-4242
Mailing Address
Dr. SHANNON LOUISE DONOVAN MAZUR D.O
20 YORK ST
NEW HAVEN, CT 06510-3220
Phone number: 203-688-4242