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Individual
PATRICIA A CONNOLLY
Active
Individual
PATRICIA A CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
57411
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110572001
CIGNA
MA
01
—
20188
HARVARD COMMUNITY HEALTH
MA
05
—
3016200
—
MA
01
—
712834
TUFTS HEALTH PLAN
MA
01
—
J06101
BLUE CROSS BLUE SHIELD
MA
Enumeration date
04/10/2006
Last updated
01/27/2011
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