Individual
MARIA DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(617) 323-7700
Mailing address
15 MERRIMAC WAY UNIT D, TYNGSBORO, MA 01879-2772
(978) 935-1276
Taxonomy
Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
325518
MA
Other
Enumeration date
04/05/2013
Last updated
04/05/2013
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