Individual
DR. JOHN MICHAEL CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
117 PARK DR, BOSTON, MA 02215-5174
(617) 948-3338
Mailing address
73 FRIENDLY RD, MAHOPAC, NY 10541-1922
(845) 628-4164
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MT181995
PA
Other
Enumeration date
02/26/2007
Last updated
08/08/2007
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