Individual
DR. BRIAN MICHAEL CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
995 PRINCE FREDERICK BLVD STE 204, PRINCE FREDERICK, MD 20678-5101
(443) 351-3376
Mailing address
1306 CONCOURSE DR STE 201, LINTHICUM HEIGHTS, MD 21090-1033
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
18785
NH
207N00000X
Dermatology Physician
Primary
D98480
MD
Other
Enumeration date
07/14/2014
Last updated
09/27/2023
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