Connolly, Thomas Joseph

Connolly, Thomas Joseph is an individual health care provider with primary practice located at 200 Boylston St Ste 301 , Chestnut Hill MA 02467-2008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Connolly, Thomas Joseph can be contacted via phone (617) 731-3400.

Contact Information

Primary practice address
200 Boylston St Ste 301 Chestnut Hill MA 02467-2008
Phone: (617) 731-3400
Fax: (617) 566-2224
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 156025 Massachusetts

Profile Details

NPI number 1972587871
LBN Legal business name Connolly, Thomas Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated May 3rd, 2022 - about 4 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 1972587871 NPPES
Massachusetts Other J18845 BCBS MA
Massachusetts Other 156025 BCBS MA
Massachusetts MEDICAID 3180204 BCBS MA

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