person
Ms. Mary Ellen Connolly, NP
Surgical Physician Assistant in Baltimore, Maryland
NPI 1073537205

Mary Ellen Connolly is a Surgical Physician Assistant based in Baltimore, MD and is specialized in Surgical. Mary Ellen Connolly practices in Baltimore, MD and has the professional credentials of NP. The NPI Number for Mary Ellen Connolly is 1073537205 and holds a License No. R085542 (Maryland).

The current practice location address for Mary Ellen Connolly is 22 S Greene St, Baltimore, MD and can be reached out via phone at 410-328-6897 and via fax at 410-328-2109.

Location: 22 S Greene St, Baltimore, MD, 21264-4742
person
Provider Profile Details
NPI Number
1073537205
Provider Name
Mary Ellen Connolly
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
22 S Greene St, Baltimore, MD, 21264-4742
Phone Number
410-328-6897
Fax Number
410-328-2109
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
64470401 01 MD BLUE SHIELD
0101 01 MD CAREFIRST REGIONAL
institution
Provider Business Practice Location Address Details
Address
22 S Greene St
City
State
Zip
21201-1544
Phone Number
410-328-6897
Fax Number
410-328-2109
person
Provider Business Mailing Address Details
Address
22 S Greene St
City
State
Zip
21201-1544
Phone Number
410-328-6897
Fax Number
410-328-2109
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
R085542 (Maryland)
Definition
Definition to come...
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