Individual
DR. PATRICK J CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
119 BELMONT ST, DEPARTMENT OF ORTHOPEDIC SURGERY, WORCESTER, MA 01605-2903
(508) 334-9761
(508) 334-9769
Mailing address
PO BOX 415348, BOSTON, MA 02241-0001
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
219956
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110035652A
—
MA
Enumeration date
11/02/2005
Last updated
10/27/2020
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