Connolly, Mary Karin
Connolly, Mary Karin is an individual health care provider with primary practice located at 1701 Divisadero St , San Francisco CA 94115-3011. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Connolly, Mary Karin can be contacted via phone (415) 353-7800.Contact Information
Primary practice address
1701 Divisadero St
San Francisco CA 94115-3011
Phone: (415) 353-7800
Fax: (415) 353-9654
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | G57864 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G57864 | California |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | G57864 | California |
Profile Details
| NPI number | 1942265772 |
|---|---|
| LBN Legal business name | Connolly, Mary Karin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2006 |
| Last updated | Aug 28th, 2012 - about 12 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 | 1942265772 | NPPES |
| California | MEDICAID | 0G5786400 |
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