Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0106X | Orthopaedic Hand Surgeon | 028945 | CT |
Y | 208200000X | Surgeon | 028945 | CT |
Y | 208600000X | Surgeon | 028945 | CT |
NPI | 1306886163 |
---|---|
Provider Name | Mr. Terrence K Donahue |
First Address | Southington, CT 06489-2503 |
Second Address | New Britain, CT 06052 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2006 |
Last Update Date | 12/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010028945CT05 | BLUE SHIELD (01) | |
128945 | CTC (01) | |
2V4173 | HEALTHNET (01) | |
3460412 | UHC (01) | |
E39847 | (02) | |
HAS014 | OXFORD (01) |