Basic Information
Provider Information
NPI: 1356570394
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DONOVAN
FirstName: PATRICIA
MiddleName: H.
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 191
Address2:  
City: ROCKLAND
State: DE
PostalCode: 197320191
CountryCode: US
TelephoneNumber: 3026516212
FaxNumber: 3026514945
Practice Location
Address1: 801 MIDDLEFORD RD
Address2:  
City: SEAFORD
State: DE
PostalCode: 199733636
CountryCode: US
TelephoneNumber: 3026296611
FaxNumber: 3026514945
Other Information
ProviderEnumerationDate: 07/13/2009
LastUpdateDate: 08/17/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000XC10009104DEY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


Home