Individual
MARY ELLEN CONROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
597 MERRIMACK ST, LOWELL, MA 01854-3908
(978) 746-7785
(978) 453-3289
Mailing address
585-597 MERRIMACK STREET, LOWELL, MA 01854
(978) 746-7785
(978) 453-3289
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
71899
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J1029201
MEDICARE PTAN
MA
Enumeration date
08/22/2006
Last updated
12/03/2008
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