Individual
DR. ROGER JOHN CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
167 S BROADWAY, SALEM, NH 03079-3379
(603) 893-5288
(603) 893-4663
Mailing address
167 S BROADWAY, SALEM, NH 03079-3379
(603) 893-5288
(603) 893-4663
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4560
MA
Other
Enumeration date
11/29/2006
Last updated
05/22/2009
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