Individual
MARYANNE MCDONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8085
(860) 679-2792
(860) 679-1494
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8082
(860) 679-4165
(860) 676-3413
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
032463
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001324631
—
CT
Enumeration date
04/06/2006
Last updated
11/22/2022
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