Connelly, Mark Stephen

Connelly, Mark Stephen is an sole proprietor health care provider with primary practice located at 111 Michigan Ave Nw Suite M4800, Washington DC 20010-2916. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Connelly, Mark Stephen can be contacted via phone (202) 476-6817.

Contact Information

Primary practice address
111 Michigan Ave Nw Suite M4800 Washington DC 20010-2916
Phone: (202) 476-6817
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2014-00895 North Carolina
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X MD043066 District of Columbia

Profile Details

NPI number 1770876583
LBN Legal business name Connelly, Mark Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2011
Last updated Jun 15th, 2015 - about 9 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.

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