Connolly, Stephen G

Connolly, Stephen G is an individual health care provider with primary practice located at 4301 N Star Way , Modesto CA 95356-9262. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Connolly, Stephen G can be contacted via phone (209) 577-1200.

Contact Information

Primary practice address
4301 N Star Way Modesto CA 95356-9262
Phone: (209) 577-1200
Fax: (209) 577-6517
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X G588210 California
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X G58821 California

Profile Details

NPI number 1487688818
LBN Legal business name Connolly, Stephen G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Feb 24th, 2025 - about last year

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 1487688818 NPPES
California Other G58821 STATE LICENSE
California MEDICAID 00G588210 STATE LICENSE

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