Organization
CONNOLLY DERMATOLOGY PHILADELPHIA LLC
Active
Parent organization
COYLE S CONNOLLY DO PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
COYLE S CONNOLLY DO PA
Authorized official
COYLE S CONNOLLY DO (PRESIDENT)
(609) 926-8899
Entity
Organization
Contact information
Practice address
2418 E YORK ST, PHILADELPHIA, PA 19125-3006
(609) 926-8899
(856) 772-1997
Mailing address
2099 NEW ALBANY RD, CINNAMINSON, NJ 08077-3534
(609) 926-8899
(856) 772-1997
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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