Connelly, Daniela

Connelly, Daniela is an individual health care provider with primary practice located at 45 Dimock St , Roxbury MA 02119-1208. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Connelly, Daniela can be contacted via phone (617) 442-8800.

Contact Information

Primary practice address
45 Dimock St Roxbury MA 02119-1208
Phone: (617) 442-8800
Fax: (617) 541-8472
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 258143 Massachusetts
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 14651 New Hampshire

Profile Details

NPI number 1518186733
LBN Legal business name Connelly, Daniela
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2007
Last updated Dec 1st, 2020 - about 5 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 1518186733 NPPES
New Hampshire MEDICAID 30209209

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