Healthcare Provider Details

I. General information

NPI: 1306424718
Provider Name (Legal Business Name): SARAH MEYERS CONNOLLY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2021
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1030 PRESIDENT AVE # 2001
FALL RIVER MA
02720-5928
US

IV. Provider business mailing address

1030 PRESIDENT AVE # 2001
FALL RIVER MA
02720-5928
US

V. Phone/Fax

Practice location:
  • Phone: 508-679-6833
  • Fax:
Mailing address:
  • Phone: 508-679-6833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number1019309
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: