Mcdonnell, Maryanne

Mcdonnell, Maryanne is an individual health care provider with primary practice located at 263 Farmington Ave , Farmington CT 06030-8085. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Mcdonnell, Maryanne can be contacted via phone (860) 679-2792.

Contact Information

Primary practice address
263 Farmington Ave Farmington CT 06030-8085
Fax: (860) 679-1494
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 032463 Connecticut

Profile Details

NPI number 1578525259
LBN Legal business name Mcdonnell, Maryanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Nov 22nd, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578525259 NPPES
Connecticut MEDICAID 001324631

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