Individual
JOHN P. CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
845 S FAIRMONT AVE STE 8, LODI, CA 95240-5113
(209) 339-7410
Mailing address
845 S FAIRMONT AVE STE 8, LODI, CA 95240-5113
(209) 339-7410
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
G57508
CA
Other
Enumeration date
08/12/2006
Last updated
03/24/2015
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