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NPI Verification

National Provider Identifier: 1215433230

Samuel Edwin Donovan

Individual Provider

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

111 BREWSTER ST

PAWTUCKET, RI 02860

Phone: 401-729-2304

NPI Enumeration Date

March 30, 2018

NPI Number

1215433230

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry