Individual
THOMAS CARROLL CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1020 THOMPSON ST, JERSEY SHORE, PA 17740-1729
(570) 398-1991
(570) 398-4607
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD035105E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01791311
—
PA
Enumeration date
08/24/2005
Last updated
03/07/2023
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