Individual
DR. MARIE E. MCDONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
732 HARRISON AVE, PRESTON, 2ND FLOOR, BOSTON, MA 02118-2309
(617) 638-7470
(617) 638-7449
Mailing address
45 FRANCIS ST, BOSTON, MA 02115-6105
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
223235
MA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
223235
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110041298A
—
MA
Enumeration date
07/25/2006
Last updated
09/21/2020
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