Individual
CHRISTOPHER JOHN CONROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
895 BLUE HILL AVE, DORCHESTER CENTER, MA 02124-2902
(617) 506-8188
Mailing address
22 ELMORE ST # 1, ROXBURY, MA 02119-1633
(617) 516-4761
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548533789
—
MA
Enumeration date
01/30/2019
Last updated
01/30/2019
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