Individual
DR. MICHAEL JOSEPH CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
393A RIVER RD, FAIR HAVEN, NJ 07704-3029
(732) 842-8014
(732) 842-6551
Mailing address
393 RIVER RD, FAIR HAVEN, NJ 07704-3029
(732) 842-2579
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI01135100
NJ
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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