Provider Demographics
NPI:1255389524
Name:DONATI, EMANUEL JOSEPH (RPH)
Entity type:Individual
Prefix:MR
First Name:EMANUEL
Middle Name:JOSEPH
Last Name:DONATI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 EDITH NORSE ROGERS MEMORIAL VETERANS HOSPITAL (1990
Mailing Address - Street 2:200 SPRINGS RD.
Mailing Address - City:BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01730-1198
Mailing Address - Country:US
Mailing Address - Phone:781-687-2089
Mailing Address - Fax:
Practice Address - Street 1:EDITH NORSE ROGERS MEMORIAL VETERANS HOSPITAL (1990
Practice Address - Street 2:200 SPRINGS RD.
Practice Address - City:BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:01730-1198
Practice Address - Country:US
Practice Address - Phone:781-687-2089
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11989183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist