Individual
ELIZABETH CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1505 W SHERMAN AVE, VINELAND, NJ 08360-7059
(856) 641-6022
Mailing address
4815 COVERED BRIDGE RD, MILLVILLE, NJ 08332-1128
(609) 224-7457
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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