Individual
JESSICA LYNN CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 E LEHIGH AVE BLDG MAB, PHILADELPHIA, PA 19125-1012
(215) 707-8496
(215) 707-4086
Mailing address
100 E LEHIGH AVE BLDG SUITE105, PHILADELPHIA, PA 19125-1012
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MT232294
PA
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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