Individual
DR. JOSEPH CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 732-7403
Mailing address
130 DIVISION ST, DERBY, CT 06418-1326
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
015604
CT
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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