Individual
DR. MATTHEW WILLIAM CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1701 N SENATE BLVD, ROOM AG012, INDIANAPOLIS, IN 46202-1239
(317) 962-3886
(317) 963-5492
Mailing address
1701 N SENATE BLVD, ROOM AG012, INDIANAPOLIS, IN 46202-1239
(317) 962-5975
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01075584A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11017841A
IN
Other
Enumeration date
06/13/2014
Last updated
07/17/2015
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