Connolly, Mary

Connolly, Mary is an individual health care provider with primary practice located at 15 Berwick St , West Roxbury MA 02132-4217. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Connolly, Mary can be contacted via phone (617) 477-3546.

Contact Information

Primary practice address
15 Berwick St West Roxbury MA 02132-4217
Phone: (617) 477-3546
Fax: (617) 971-3783
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 36 Massachusetts

Profile Details

NPI number 1306937156
LBN Legal business name Connolly, Mary
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated May 23rd, 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.

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