Individual
SANDRA MARIE CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 PARK AVE, MANALAPAN, NJ 07726-8375
(732) 679-4500
(732) 679-4549
Mailing address
37 WYNCREST RD, MARLBORO, NJ 07746-1103
(848) 207-8641
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA05783400
NJ
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
25MA05783400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5147905
—
NJ
Enumeration date
02/02/2007
Last updated
06/27/2024
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