Provider Demographics
NPI:1235160144
Name:DONADIO, GEORGIANNA K (DC)
Entity Type:Individual
Prefix:DR
First Name:GEORGIANNA
Middle Name:K
Last Name:DONADIO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 FARM STREET
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:MA
Mailing Address - Zip Code:02030-2305
Mailing Address - Country:US
Mailing Address - Phone:781-431-2621
Mailing Address - Fax:781-431-0017
Practice Address - Street 1:3 CAMERON PLACE
Practice Address - Street 2:
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02482
Practice Address - Country:US
Practice Address - Phone:781-431-2621
Practice Address - Fax:781-431-0017
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA409111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
4404438OtherUNITED HEALTH CARE
MA1612492Medicaid
1001068OtherAMERICAN SPECIALTY HEALTH
4144296OtherMVP HEALTHCARE
2222180OtherAETNA
35509OtherHARVARD PILGRIM
717595OtherTUFTS
2222180OtherAETNA
1001068OtherAMERICAN SPECIALTY HEALTH