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Contact Information

SAMUEL P DONEGAN, MD
830 OAK STREET
SUITE 223E
BROCKTON, MA02301
 Phone: 508-427-2222
 Fax: 508-897-4773
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for SAMUEL P DONEGAN · (Male)

NPI # 1710989322
Status Active
Credentials MD
Entity Individual
Enumeration date 08/12/2005
Last updated 03/10/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MA License # 56194
  • MD License # D0068818
  • MA Medicaid 110043227A
  • MD Medicaid 022452900
  • Other Q818-0019 CAREFIRST
  • MD Other 950201 CAREFIRST RENDERING NUMBER
  • MD Other 165767 MEDICARE GROUP PTAN
  • MD Other 152599ZEZT MEDICARE PTAN
Hospital affiliation(s)
  • GOOD SAMARITAN MEDICAL CENTER - (Acute Care)
    235 NORTH PEARL STREET
    BROCKTON, MA 02301
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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