Connolly, Deirdre M
Connolly, Deirdre M is an individual health care provider with primary practice located at 23 Village Sq , Chelmsford MA 01824-2712. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Connolly, Deirdre M can be contacted via phone (978) 323-2835.Contact Information
Primary practice address
23 Village Sq
Chelmsford MA 01824-2712
Phone: (978) 323-2835
Fax: (978) 323-2836
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 205858 | Massachusetts |
Profile Details
NPI number | 1124076120 |
---|---|
LBN Legal business name | Connolly, Deirdre M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 4th, 2006 |
Last updated | Apr 3rd, 2017 - about 7 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 | 1124076120 | NPPES |
Massachusetts | MEDICAID | 9771298 |
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