Individual
CYNTHIA G CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
56 MAIN ST, ORLEANS, MA 02653-9998
(508) 225-4421
Mailing address
PO BOX 1690, ORLEANS, MA 02653
(508) 255-4421
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
258
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
258
DIVISION OF PROFESSIONAL LIECENSURE
MA
Enumeration date
07/11/2012
Last updated
07/11/2012
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