Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 236514 | NY |
Y | 111NI0900X | Internist | 236514 | NY |
N | 207RI0200X | Infectious Disease | 232437 | MA |
NPI | 1023116662 |
---|---|
Provider Name | Henry James Donaghy |
First Address | Boston, MA 02111-1552 |
Second Address | Boston, MA 02111-1552 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 26/02/2010 |