Individual
EMMA M CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
895 UNION ST STE 12, BANGOR, ME 04401-3054
(207) 973-7979
Mailing address
895 UNION ST STE 12, BANGOR, ME 04401-3054
(207) 973-7973
(207) 973-7684
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
1255071585
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
04/01/2022
Last updated
06/22/2024
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