Provider Demographics
NPI:1568637569
Name:O'DONOVAN, ELENI (MD)
Entity Type:Individual
Prefix:
First Name:ELENI
Middle Name:
Last Name:O'DONOVAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1 BOSTON MEDICAL CTR PL
Mailing Address - Street 2:DOWLING 5- SOUTH
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2908
Mailing Address - Country:US
Mailing Address - Phone:617-414-6239
Mailing Address - Fax:617-414-3345
Practice Address - Street 1:1901 D ST SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-2534
Practice Address - Country:US
Practice Address - Phone:202-698-0400
Practice Address - Fax:202-547-1497
Is Sole Proprietor?:No
Enumeration Date:2008-04-30
Last Update Date:2018-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA225761207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine