Individual
KRISSIE CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
630 PLANTATION ST, WORCESTER, MA 01605
(508) 595-2505
(508) 854-0650
Mailing address
630 PLANTATION ST, WORCESTER, MA 01605
(508) 595-2505
(508) 385-4065
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207984
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0181200
WELFARE
—
05
—
0181200
—
MA
01
—
0403700
EVERCARE
—
01
—
042472266
PRIVATE HEALTHCARE SYSTEM
—
01
—
042472266008
TRICARE CHAMPUS
—
01
—
110239905
RAILROAD MEDICARE
—
01
—
2118599
FIRST HEALTH
—
01
—
54949
FALLON COMMUNITY HEALTH P
—
01
—
7537566
AETNA US HEALTHCARE
—
01
—
784013
MVP HEALTH CARE
—
01
—
8134337
CIGNA HEALTH PLAN
—
01
—
A34437
MEDICARE B
—
01
—
AA1261
HARVARD PILGRIM HEALTHCAR
—
01
—
J25230
BLUE SHIELD INDEMNITY
—
Enumeration date
03/30/2006
Last updated
01/29/2009
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