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Organization

HUGH J CONNOLLY MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HUGH JOSEPH CONNOLLY M.D. (PRESIDENT)
(305) 251-3434
Entity
Organization

Contact information

Practice address
9000 SW 152ND ST, SUITE 107, PALMETTO BAY, FL 33157-1981
(305) 251-3434
(305) 971-6393
Mailing address
9000 SW 152ND ST, SUITE 107, PALMETTO BAY, FL 33157-1981
(305) 251-3434
(305) 971-6393

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME0014984
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
050276600
FL
Enumeration date
06/03/2012
Last updated
06/03/2012
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