Individual
JOHN E CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
501 N 17TH ST, SUITE # 108, ALLENTOWN, PA 18104-5044
(610) 434-4760
(610) 820-9122
Mailing address
501 N 17TH ST, SUITE #108, ALLENTOWN, PA 18104-5044
(610) 954-6048
(610) 954-3189
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS007130L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012679810004
—
PA
Enumeration date
02/22/2006
Last updated
12/22/2011
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