Doctor Name: | JOHN Y CONNOLLY |
NPI Number: | 1053317065 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 011351 |
Business Practice Address: | 200 Somerset St Millinocket, ME - 044621258 |
Business Phone Number: | 2077235161 |
Business Fax Number: | |
Mailing Address: | Po Box 1849, LEWISTON |
State: | ME |
Postal Code: | 042411849 |
Phone Number: | 2077842554 |
Fax Number: | 2077834079 |
NPI Enumeration Date: | 06/23/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 011351 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |