Connolly, John A.

Connolly, John A. is an individual health care provider with primary practice located at 1750 El Camino Real Suite #307, Burlingame CA 94010. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Connolly, John A. can be contacted via phone (650) 259-1480.

Contact Information

Primary practice address
1750 El Camino Real Suite #307 Burlingame CA 94010
Phone: (650) 259-1480
Fax: (650) 697-7361
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A56059 California
Allopathic & Osteopathic Physicians / Urology 208800000X A56059 California

Profile Details

NPI number 1174529309
LBN Legal business name Connolly, John A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Jun 23rd, 2020 - about 6 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 1174529309 NPPES
California MEDICAID ZZZ83789Z

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