Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD458273 | PA |
N | 207RC0000X | Internist - Cardiovascular Disease | MD458273 | PA |
NPI | 1275894719 |
---|---|
Provider Name | Robert James Donovan JR. |
First Address | Lancaster, PA 17603-2962 |
Second Address | Lancaster, PA 17603-2964 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2012 |
Last Update Date | 22/02/2021 |