| Doctor Name: | MS. MARIANNE CONNELLY |
| NPI Number: | 1164671194 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | F.N.P. |
| License Number: | 263434 |
| Business Practice Address: | 46 Woburn Street Reading, MA - 01867 |
| Business Phone Number: | 7819440600 |
| Business Fax Number: | 7819420253 |
| Mailing Address: | Po Box 760, WINCHESTER |
| State: | MA |
| Postal Code: | 018904260 |
| Phone Number: | 7817567273 |
| Fax Number: | 7817218725 |
| NPI Enumeration Date: | 09/15/2008 |
| NPI Last Update Date: | 01/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 263434 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |