Individual
COLLEEN MARIE MCDONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 S CATON AVE, BALTIMORE, MD 21229-5299
(667) 234-6000
Mailing address
900 E FORT AVE APT 814, BALTIMORE, MD 21230-5512
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C0008680
MD
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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