Individual
SUZANNE D CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
805 COLUMBIA RD, SUITE 102, WESTLAKE, OH 44145-1487
(440) 808-1925
(440) 808-1926
Mailing address
805 COLUMBIA RD, SUITE 102, WESTLAKE, OH 44145-1487
(440) 808-1925
(440) 808-1926
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35086814
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2616664
—
OH
Enumeration date
05/11/2006
Last updated
05/14/2009
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