Carla M Connelly PA

NPI 1578898797 - Physician Assistant - 363AS0400X

NPI Details
NPI 1578898797
Gender Female
Enumeration Date 10/06/2009
Last Updated 02/02/2012
Entity Type Individual
Active Over 7 years ago
Practice Location
123 SUMMER ST
WORCESTER MA, 01608-1216, US
Phone (508) 363-6095
Fax
Business Location
123 SUMMER ST
WORCESTER MA, 01608-1216, US
Phone
Fax
Toxanomy
Taxonomy Code 363AS0400X
License State Massachusetts
License Number PA3801
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According to our database, Carla M Connelly PA NPI is 1578898797, taxonomy code is 363AS0400X and license number is PA3801, license state is located at Massachusetts. Carla M Connelly PA physically located at 123 Summer St, Worcester MA, 01608-1216. NPI Number Carla M Connelly PA has the Individual type.

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1578898797 NPI number is provided on an as is basis without warranty of any kind. 1578898797 is maintained by the National Plan & Provider Enumeration System. The contents of Carla M Connelly PA are for informational purposes only.