Derek Donovan, PA-C
Derek Donovan, PA-C is a Physician Assistant in Moodus, Connecticut. Licensed in Connecticut and North Carolina. Registered with an NPI since 2015.
- Licensed in
- CT, NC
- In the registry since
- 2015
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
27 William F Palmer RdMoodus, CT 06469-1132
Phone: (860) 873-1414
Fax: (860) 358-8659
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 003652 (CT) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 0010-05911 (NC) |
Record details
| NPI number | 1417324930 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | September 1, 2015 |
| Last updated in NPPES | April 12, 2017 |
| Mailing address | 28 Crescent St, Middletown, CT 06457-3654 |