Connelly, Timothy Gerard

Connelly, Timothy Gerard is an individual health care provider with primary practice located at 825 Chalkstone Ave , Providence RI 02908-4728. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Connelly, Timothy Gerard can be contacted via phone (401) 456-2666.

Contact Information

Primary practice address
825 Chalkstone Ave Providence RI 02908-4728
Phone: (401) 456-2666
Fax: (401) 456-2196
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 77171 Massachusetts
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X DO-390 Rhode Island

Profile Details

NPI number 1407986631
LBN Legal business name Connelly, Timothy Gerard
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Jan 8th, 2019 - about 7 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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