MEDICARE: MARYANNE MCDONNELL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	032463	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578525259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARYANNE MCDONNELL M.D.

Provider Business Mailing Address
First Line	:	263 FARMINGTON AVE
Second Line	:
City	:	FARMINGTON
State	:	CT
Zip	:	06030-8082
Country	:	US
Telephone Number	:	860-679-4165
Fax Number	:	860-676-3413

Provider Business Practice Location Address
First Line	:	263 FARMINGTON AVE
Second Line	:
City	:	FARMINGTON
State	:	CT
Zip	:	06030-8085
Country	:	US
Telephone Number	:	860-679-2792
Fax Number	:	860-679-1494

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2006
Last Update Date	:	11/22/2022

Similar Medicare Providers

1407474430 — SAMANTHA ANN OLSENEVICH PA-C
Practice Location Address:

263 FARMINGTON AVE
FARMINGTON, CT
06030-8085

Practice Phone: 860-679-2792
Practice Fax: 860-679-1494

1649258948 — DR. ANDREA DENISE SHIELDS M.D.
Practice Location Address:

263 FARMINGTON AVENUE
FARMINGTON, CT
06030-8085

Practice Phone: 860-679-2792
Practice Fax: 860-679-1494

1003858952 — DR. RICHARD KENT WAGNER MD
Practice Location Address:

263 FARMINGTON AVENUE
FARMINGTON, CT
06030-8085

Practice Phone: 860-679-3387
Practice Fax: 860-679-1494

1790885804 — KELLY A LYNCH MD
Practice Location Address:

263 FARMINGTON AVENUE
FARMINGTON, CT
06030-8085

Practice Phone: 860-679-2100
Practice Fax: 860-679-4815

1306050547 — DR. PARAMJEET KAUR M.D., FACS
Practice Location Address:

263 FARMINGTON AVE
FARMINGTON, CT
06030-8085

Practice Phone: 860-679-2100
Practice Fax: 860-679-4815

1417248253 — NEENA TICKU QASBA M.D.
Practice Location Address:

263 FARMINGTON AVENUE
FARMINGTON, CT
06030-8085

Practice Phone: 860-679-2792
Practice Fax: 860-679-1494

Directions to “ MARYANNE MCDONNELL M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.