SearchMassachusetts156FX1800X

Mark Donovan

NPI 1568736775 · on the registry since 2012 · sole proprietor

Practice

Address
666 E Broadway
South Boston, MA 02127
Phone
(617) 239-4354
Fax
(617) 268-2805

Registry record

Primary taxonomy
156FX1800X
156FX1800X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-03-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts