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Organization
MAUREEN T CONNELLY DPM PA
Active
Organization
MAUREEN T CONNELLY DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAUREEN T CONNELLY DPM (OWNER)
(561) 391-3636
Entity
Organization
Contact information
Practice address
22 SE 6TH ST, BOCA RATON, FL 33432-6016
(561) 391-3636
(561) 395-3041
Mailing address
22 SE 6TH ST, BOCA RATON, FL 33432-6016
(561) 391-3636
(561) 395-3041
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2508
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972697035
NPI
FL
01
—
K2436
PTAN
FL
Enumeration date
10/03/2006
Last updated
11/16/2011
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