Connolly, Gregory
Connolly, Gregory is an individual health care provider with primary practice located at 128 Lakeside Ave Suite 115, Burlington VT 05401-4939. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Connolly, Gregory can be contacted via phone (802) 860-1928.Contact Information
Primary practice address
128 Lakeside Ave Suite 115
Burlington VT 05401-4939
Phone: (802) 860-1928
Fax: (802) 860-0192
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 042-0011956 | Vermont |
Profile Details
| NPI number | 1366641086 |
|---|---|
| LBN Legal business name | Connolly, Gregory |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2007 |
| Last updated | Oct 4th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366641086 | NPPES |
| Vermont | MEDICAID | 1017604 |
Popular Providers
-
Earnest, Robert Rhea
460 Country Club Rd , Lumberton NC 28360-9494 -
Feldman, Kira
249 S Main St Suite 2, Barnegat NJ 08005-2301 -
Crowder, Wayne L
1475 Taney Ave Ste 201, Frederick MD 21702-5126 -
Attisha, Elliott S
32100 Telegraph Rd Suite 110, Bingham Farms MI 48025-2452 -
Ahmadi, Cyrus
53 Passaic Ave , Passaic NJ 07055-4801 -
Gibson, Erica J
1 S Prospect St 3Rd Floor, Burlington VT 05401-3456 -
Bergeson, Rachel
1 Stadium Rd , Stonybrook NY 11794-3191 -
Rivera Morillo, Pedro D
Avenida Munoz Marin A-8 , Caguas PR 00725