Connelly, Daniela
Connelly, Daniela is an individual health care provider with primary practice located at 45 Dimock St , Roxbury MA 02119-1208. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Connelly, Daniela can be contacted via phone (617) 442-8800.Contact Information
Primary practice address
45 Dimock St
Roxbury MA 02119-1208
Phone: (617) 442-8800
Fax: (617) 541-8472
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 258143 | Massachusetts |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 14651 | New Hampshire |
Profile Details
| NPI number | 1518186733 |
|---|---|
| LBN Legal business name | Connelly, Daniela |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2007 |
| Last updated | Dec 1st, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518186733 | NPPES |
| New Hampshire | MEDICAID | 30209209 |
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