Connolly, Thomas Joseph
Connolly, Thomas Joseph is an individual health care provider with primary practice located at 27 Boylston St Ste 320 , Chestnut Hill MA 02467-1747. 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
27 Boylston St Ste 320
Chestnut Hill MA 02467-1747
Phone: (617) 731-3400
Fax: (617) 566-2224
Website:
Health care specialties
| Specialty | Code | License # | 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 | Jan 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972587871 | NPPES |
| Massachusetts | Other | J18845 | BCBS MA |
| Massachusetts | MEDICAID | 3180204 | BCBS MA |
| Massachusetts | Other | 156025 | BCBS MA |
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