Thomas J Connolly MD05/25

NPI 1093708125 - Pediatrics - 2080A0000X

NPI Details
NPI 1093708125
Gender Male
Enumeration Date 08/24/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
2121 PARK ST
JACKSONVILLE FL, 32204-3811, US
Phone (904) 387-6200
Fax (904) 387-0261
Business Location
2121 PARK ST
JACKSONVILLE FL, 32204-3811, US
Phone (904) 387-6200
Fax (904) 387-0261
Toxanomy
Taxonomy Code 2080A0000X
License State Florida
License Number ME 85592
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According to our database, Dr. Thomas J Connolly MD05/25 NPI is 1093708125, taxonomy code is 2080A0000X and license number is ME 85592, license state is located at Florida. Thomas J Connolly MD05/25 physically located at 2121 Park St, Jacksonville FL, 32204-3811. NPI Number Thomas J Connolly MD05/25 has the Individual type.

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1093708125 NPI number is provided on an as is basis without warranty of any kind. 1093708125 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas J Connolly MD05/25 are for informational purposes only.