Connelly, Robert

Connelly, Robert is an individual health care provider with primary practice located at 401 Federal Rd , Brookfield CT 06804-2037. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Connelly, Robert can be contacted via phone (203) 775-6365.

Contact Information

Primary practice address
401 Federal Rd Brookfield CT 06804-2037
Phone: (203) 775-6365
Fax: (203) 740-3010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-109804 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 65250 Connecticut

Profile Details

NPI number 1093754590
LBN Legal business name Connelly, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Aug 12th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093754590 NPPES
Illinois MEDICAID 036-109804

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