Connolly, Michael

Connolly, Michael is an individual health care provider with primary practice located at 2900 Main St Suite 3C, Stratford CT 06614-4946. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Connolly, Michael can be contacted via phone (203) 378-3080.

Contact Information

Primary practice address
2900 Main St Suite 3C Stratford CT 06614-4946
Phone: (203) 378-3080
Fax: (203) 377-3897
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 028136 Connecticut
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 028136 Connecticut

Profile Details

NPI number 1255390555
LBN Legal business name Connolly, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated May 31st, 2013 - about 12 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 1255390555 NPPES
Connecticut MEDICAID 001281360

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