Individual
DR. DANIELA CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
45 DIMOCK ST, ROXBURY, MA 02119-1208
(617) 442-8800
(617) 541-8472
Mailing address
6 BUTTRICK RD, STE 102, LONDONDERRY, NH 03053-3417
(603) 537-1300
(603) 845-5182
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14651
NH
207Q00000X
Family Medicine Physician
258143
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30209209
—
NH
Enumeration date
04/25/2007
Last updated
12/01/2020
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