COLLEEN A FARRELL MD
Physician/surgeon


Address: 28 Rockcroft Road, Weymouth, MA 02188

COLLEEN A FARRELL MD (Credential# 544226) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2016. The license expiration date date is November 30, 2017. The license status is INACTIVE.

Business Overview

COLLEEN A FARRELL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.022648. The credential type is physician/surgeon. The effective date is December 1, 2016. The expiration date is November 30, 2017. The business address is 28 Rockcroft Road, Weymouth, MA 02188. The current status is inactive.

Basic Information

Licensee Name COLLEEN A FARRELL MD
Credential ID 544226
Credential Number 1.022648
Credential Type Physician/Surgeon
Business Address 28 Rockcroft Road
Weymouth
MA 02188
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1981-03-24
Effective Date 2016-12-01
Expiration Date 2017-11-30
Refresh Date 2018-03-05

Other licenses

ID Credential Code Credential Type Issue Term Status
158169 CSP.0019861 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2013-03-01 - 2015-02-28 INACTIVE

Office Location

Street Address 28 Rockcroft Road
City Weymouth
State MA
Zip Code 02188

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Mary C Dinallo 170 Mediterranean Drive, Weymouth, MA 02188 Registered Nurse 2019-07-01 ~ 2020-06-30
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Competitor

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City Weymouth
Zip Code 02188
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Weymouth

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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