Provider Demographics
NPI:1043209927
Name:CONNELLY, SARAH MCGARRY (MD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:MCGARRY
Last Name:CONNELLY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5910 CEDAR PKWY
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-4251
Mailing Address - Country:US
Mailing Address - Phone:301-320-4213
Mailing Address - Fax:
Practice Address - Street 1:4910 MASSACHUSETTS AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-4382
Practice Address - Country:US
Practice Address - Phone:202-537-7400
Practice Address - Fax:202-244-9645
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD034618207RI0200X
MDD0061037207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
I04881Medicare UPIN
DC014042D02Medicare ID - Type Unspecified