# MICHAEL C CONNELLY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1710987615
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 12648 | NH | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 58770 | MA | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | 58770 | MA | — |

## Other

- **Enumeration date:** 07/21/2005
- **Last updated:** 03/04/2020
