Comeau, Donnella Simone

Comeau, Donnella Simone is an individual health care provider with primary practice located at 525 Broad St Advanced Radiology, Cumberland RI 02864-6919. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Comeau, Donnella Simone can be contacted via phone (401) 725-6736.

Contact Information

Primary practice address
525 Broad St Advanced Radiology Cumberland RI 02864-6919
Phone: (401) 725-6736
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 223820 Massachusetts
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD12003 Rhode Island

Profile Details

NPI number 1720068307
LBN Legal business name Comeau, Donnella Simone
Credentials MD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720068307 NPPES
Massachusetts Other J29652 BLOE CROSS BLUE SHIELD
Massachusetts MEDICAID 2112710 BLOE CROSS BLUE SHIELD
Massachusetts Other 294444 BLOE CROSS BLUE SHIELD

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