Individual
DR. JAMES L CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1420 N CAUSEWAY BLVD, MANDEVILLE, LA 70471-3104
(985) 327-5905
(985) 200-0840
Mailing address
1420 N CAUSEWAY BLVD, MANDEVILLE, LA 70471-3104
(985) 327-5905
(985) 200-0840
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
ME92995
FL
207YS0123X
Facial Plastic Surgery Physician
Primary
MD205818
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
256408YKEN
MEDICARE PTAN
LA
05
—
2728320000
—
FL
Enumeration date
12/16/2005
Last updated
11/13/2025
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