Individual
JOHN M CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
907 SUMNER ST # M201, STOUGHTON, MA 02072-3374
(781) 344-2325
(781) 341-8544
Mailing address
907 SUMNER ST # M201, STOUGHTON, MA 02072-3374
(781) 344-2325
(781) 341-8544
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
72366
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3064816
—
MA
Enumeration date
11/17/2006
Last updated
07/08/2007
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