Individual
DR. TIMOTHY GERARD CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2666
(401) 456-2196
Mailing address
690 CANTON ST, STE 325, WESTWOOD, MA 02090-2324
(401) 490-7530
(401) 490-7533
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
77171
MA
207L00000X
Anesthesiology Physician
Primary
DO-390
RI
Other
Enumeration date
03/06/2007
Last updated
01/08/2019
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