Mr. Mark Thomas Donovan
Mr. Mark Thomas Donovan is an Optician in South Boston, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.
- Licensed in
- MA
- In the registry since
- 2012
Practice location Address checks out
666 E BroadwaySouth Boston, MA 02127-1502
Phone: (617) 239-4354
Fax: (617) 268-2805
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Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence 4282 (MA) |
|---|
Record details
| NPI number | 1568736775 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 6, 2012 |
| Last updated in NPPES | March 6, 2012 |
| Mailing address | 666 E Broadway, South Boston, MA 02127-1502 |