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Individual
DR. PATRICK SEAN CONNELLY
Active
Individual
DR. PATRICK SEAN CONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CT 001632
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050001632CT01
BLUE CROSS BLUE SHIELD
CT
01
—
3943341
AETNA HMO
CT
01
—
7197717
AETNA PPO
CT
01
—
CT 1632
CONNECTICUT LICENSE
CT
Enumeration date
09/15/2006
Last updated
07/09/2007
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