Individual
JOSEPH V CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1351 WASHINGTON BLVD, STAMFORD, CT 06902-2419
(203) 621-3822
(203) 621-3711
Mailing address
1351 WASHINGTON BLVD, STAMFORD, CT 06902-2419
(203) 621-3822
(203) 621-3711
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
026272
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004243367
—
CT
01
—
010026272CT01
ANTHEM BC/BS
CT
01
—
026272
CONNECTICARE
CT
01
—
0V5753
HEALTH NET
CT
01
—
687961
EMPIRE BC/BS
CT
01
—
694351
AETNA
CT
01
—
7043443
CIGNA
CT
01
—
P1315104
OXFORD HEALTH PLAN
CT
01
—
TIN
OXFORD
CT
Enumeration date
07/21/2006
Last updated
10/28/2010
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