Individual ProviderMaureen T ConnellyInternal MedicineAllopathic & Osteopathic PhysiciansPractice AddressHarvard Medical School, 25 Shattuck St. Rm 206, Boston, MA 02115(617) 432-1106PECOS EnrollmentBased on the most recent information from CMS, provider Maureen T Connelly does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1083649180Provider TypeIndividualFull NameConnelly, Maureen TCredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date7/11/2006Last Updated7/8/2007Contact InformationPractice LocationPractice AddressHarvard Medical School, 25 Shattuck St. Rm 206, Boston, MA 02115Phone(617) 432-1106FaxUnlisted FaxMailing LocationMailing Address72 Beverly Rd, Chestnut Hill, MA 02467-3104Phone(617) 432-1106FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense77988Massachusetts