Leslie A Donovan is a Specialist in Greenwich, Connecticut. Leslie A Donovan practices all healthcare services and medical treatments related to Specialist. The NPI Number for Leslie A Donovan is 1134194046. The last update date is 2007-07-08.
Leslie A Donovan's current location address is 159 W Putnam Ave, Greenwich, Connecticut. You can contact this provider via phone number 2038697080 and fax number 2038697034. The mailing address for Leslie A Donovan is 159 W Putnam Ave, Greenwich, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leslie A Donovan |
|---|---|
| Address | 159 W Putnam Ave, Greenwich, Connecticut |
| Phone Number | 2038697080 |
| Fax Number | 2038697034 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1134194046 |
|---|---|
| Provider Enumeration Date | 2006-02-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 159 W Putnam Ave |
|---|---|
| City | Greenwich |
| State | Connecticut (CT) |
| Post Code | 68305329 |
| Phone Number | 2038697080 |
| Fax Number | 2038697034 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 36691 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 010036691CT01 | CT | ANTHEM BCBS OF CT | |
| CU5884 | CT | HEALTHNET | |
| P1839314 | CT | OXFORD | |
| 36691 | CT | CONNECTICARE | |
| 2065341 | CT | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Leslie A Donovan by the Centers for Medicare & Medicaid Services?
The Leslie A Donovan has been assigned the NPI (National Provider Identifier) 1134194046 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Leslie A Donovan is located?
The Leslie A Donovan is situated at the following address: 159 W Putnam Ave, Greenwich, CT, 68305329.
What is the Leslie A Donovan's area of specialization and corresponding taxonomy classification?
The Leslie A Donovan's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Leslie A Donovan receive the assignment of its 1134194046 from the Centers for Medicare & Medicaid Services?
The Leslie A Donovan was issued its 1134194046 by the Centers for Medicare & Medicaid Services on 2006-02-22.
When was the information pertaining to Leslie A Donovan most recently updated or revised?
The details related to Leslie A Donovan, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1073517686
Address: 2100 Martin Luther King Jr Blvd, Clovis, NM