Individual
JOANNA CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8815 GERMANTOWN AVE, STE. 40, PHILADELPHIA, PA 19118-2722
(215) 248-3100
(215) 248-3971
Mailing address
8815 GERMANTOWN AVE, STE. 40, PHILADELPHIA, PA 19118-2722
(215) 248-3100
(215) 248-3971
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD019404E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000668681
—
PA
Enumeration date
12/20/2005
Last updated
03/25/2009
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