Organization
COYLE S CONNOLLY DO PA
Active
Other names
Connolly Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
COYLE S CONNOLLY DO (PRESIDENT)
(609) 926-8899
Entity
Organization
Contact information
Practice address
2106 NEW RD, SUITE D4, LINWOOD, NJ 08221-1046
(609) 926-8899
(609) 926-6474
Mailing address
2099 NEW ALBANY RD, CINNAMINSON, NJ 08077-3534
(609) 926-8899
(609) 653-8713
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25MB06289800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE5501
MEDICARE RAILROAD
NJ
Enumeration date
05/26/2006
Last updated
12/02/2020
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