Doctor Name: | MR. PATRICK FRANCIS DONNELLY |
NPI Number: | 1144302696 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CPO |
License Number: | |
Business Practice Address: | 48 Kent Rd #4 New Milford, CT - 067763425 |
Business Phone Number: | 2036051725 |
Business Fax Number: | |
Mailing Address: | 48 Kent Rd, #4 NEW MILFORD |
State: | CT |
Postal Code: | 06410 |
Phone Number: | 2036051725 |
Fax Number: | |
NPI Enumeration Date: | 10/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1744P3200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | Prosthetics Case Management |
Taxonomy Definition: |