Individual
MARY CONNELL TARAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1233 MAIN ST, PROVIDENCE BEHAVIORAL HEALTH HOSPITAL, HOLYOKE, MA 01040-5381
(413) 493-2765
Mailing address
1233 MAIN STREET, HOLYOKE, MA 01040-1315
(413) 552-6839
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
206813
NY
2084P0805X
Geriatric Psychiatry Physician
Primary
230267
MA
Other
Enumeration date
05/15/2006
Last updated
05/26/2017
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