| Doctor Name: | MARIA DONNELLY |
| NPI Number: | 1124361381 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 325518 |
| Business Practice Address: | 1400 Vfw Pkwy West Roxbury, MA - 021324927 |
| Business Phone Number: | 6173237700 |
| Business Fax Number: | |
| Mailing Address: | 15 Merrimac Way Unit D, TYNGSBORO |
| State: | MA |
| Postal Code: | 018792772 |
| Phone Number: | 9789351276 |
| Fax Number: | |
| NPI Enumeration Date: | 04/05/2013 |
| NPI Last Update Date: | 04/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471M1202X |
| License Number: | 325518 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Magnetic Resonance Imaging |
| Taxonomy Definition: | |