Individual provider · Type 1 NPI
Mary Ellen Connolly, N.P.
Surgical Physician Assistant · Baltimore, MD
NPI number
1073537205
Active
Practice location
22 S Greene St
Baltimore, MD 21201-1544
Fax (410) 328-2109
Mailing address
PO Box 64226
Baltimore, MD 21264-4742
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | R085542 (MD) |
Surgical Physician Assistant: Definition to come...
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About NPI 1073537205
Mary Ellen Connolly, N.P.'s National Provider Identifier is 1073537205, issued on Jul 27, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Baltimore, MD. The record was last updated on Feb 4, 2008.