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Individual
DR. CHARLES WILLIAM CONNOLLY
Active
Individual
DR. CHARLES WILLIAM CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1784
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361968
—
MA
01
—
2700037
UNITED HEALTHCARE
MA
01
—
33386
HARVARD PILGRIM HEALTH CA
MA
01
—
709158
TUFTS HEALTH PLAN
MA
01
—
Y70860
BLUE SHIELD OF MA
MA
Enumeration date
06/23/2005
Last updated
04/24/2012
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