Connolly, Thomas J

Connolly, Thomas J is an individual health care provider with primary practice located at 2121 Park St , Jacksonville FL 32204-3811. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Connolly, Thomas J can be contacted via phone (904) 387-6200.

Contact Information

Primary practice address
2121 Park St Jacksonville FL 32204-3811
Phone: (904) 387-6200
Fax: (904) 387-0261
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X ME 85592 Florida

Profile Details

NPI number 1093708125
LBN Legal business name Connolly, Thomas J
Credentials MD05/25
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Jul 8th, 2007 - about 18 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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