Individual
DEIRDRE M CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
23 VILLAGE SQ, CHELMSFORD, MA 01824-2712
(978) 323-2835
(978) 323-2836
Mailing address
23 VILLAGE SQ, CHELMSFORD, MA 01824-2712
(978) 323-2835
(978) 323-2836
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
205858
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9771298
—
MA
Enumeration date
05/04/2006
Last updated
04/03/2017
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