Donahue, Dean Michael
Donahue, Dean Michael is an individual health care provider with primary practice located at 55 Fruit Street Blk 1570, Boston MA 02114-2696. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Donahue, Dean Michael can be contacted via phone (617) 724-0969.Contact Information
Primary practice address
55 Fruit Street Blk 1570
Boston MA 02114-2696
Phone: (617) 724-0969
Fax: (617) 726-7667
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 73115 | Massachusetts |
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 73115 | Massachusetts |
Profile Details
NPI number | 1548236052 |
---|---|
LBN Legal business name | Donahue, Dean Michael |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 24th, 2006 |
Last updated | Nov 13th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1548236052 | NPPES |
Massachusetts | Other | 724821 | TUFTS HEALTH PLAN |
Massachusetts | MEDICAID | 3164071 | TUFTS HEALTH PLAN |
Massachusetts | Other | J17268 | TUFTS HEALTH PLAN |
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