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:
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Health care specialties

SpecialtyCodeLicense #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 14 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 1942265772 NPPES
California MEDICAID 0G5786400

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