Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEREK DONOVAN, PA-C
ActiveDEREK DONOVAN, PA-C is a Physician Assistant healthcare provider located in MOODUS, Connecticut. NPI 1417324930 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MOODUS, CT
Registration Details
- NPI Number
- 1417324930
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 1, 2015 (10.94389145112 yrs)
- Last Updated
- Apr 12, 2017
- Licenses
-
0010-05911 (NC)003652 (CT)
Practice Information
- Address
-
27 WILLIAM F PALMER RDMOODUS, CT, 064691132Browse CT providers · Browse ZIP 06469
- Phone
- 8608731414
- Fax
- 8603588659
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.