Dr. Gregory Connolly, MD
Pediatrics, Adolescent Medicine in Burlington, VT. Individual provider (NPI-1).
NPI number1366641086
StatusActive
Last updated in NPPESOct 4, 2013
Details
- NPI
- 1366641086
- Entity type
- Individual (NPI-1)
- Name
- Dr. Gregory Connolly
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 12, 2007
- Last updated
- Oct 4, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080A0000X | Pediatrics, Adolescent Medicine | 042-0011956 | VT | Yes |
Practice location
128 Lakeside AveSuite 115
Burlington, VT 05401-4939
Phone 802-860-1928 · Fax 802-860-0192
Mailing address
128 Lakeside AveSuite 115
Burlington, VT 05401-4939
Phone 802-860-1928 · Fax 802-860-0192
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