Individual
PATRICK J CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 SPRUCE STREET, 3 SILVERSTEIN BLDG., PHILADELPHIA, PA 19104-4206
(215) 662-3487
(215) 349-5534
Mailing address
1865 ROUTE 70 EAST, CHERRY HILL, NJ 08003-2013
(215) 662-3487
(215) 349-5534
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
25MA08681400
NJ
207T00000X
Neurological Surgery Physician
MD430407
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000338521
ANTHEM
—
01
—
042341
SIHO
—
05
—
102222412
—
PA
05
—
178411
—
NJ
Enumeration date
09/08/2005
Last updated
02/21/2025
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