Individual
MARY ANN O'CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
369 NEW BRITAIN RD STE C, BERLIN, CT 06037-1351
(860) 543-0618
Mailing address
17 MEADOW LN, BERLIN, CT 06037-3601
(860) 543-0618
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
248
CT
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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