Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 29158 | MA |
N | 208600000X | Surgeon | 29158 | MA |
N | 2086S0120X | Pediatric Surgery | 29158 | MA |
NPI | 1437122512 |
---|---|
Provider Name | Dr. Patricia Kilroy Donahoe |
First Address | Charlestown, MA 02129-9142 |
Second Address | Boston, MA 02114-2621 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2094304 | (05) | MA |
706022 | TUFTS HEALTH PLAN (01) | MA |
B76342 | (02) | |
C05022 | BCBS MA (01) | MA |