Douglas Owen Connolly, MD
in Lebanon, NH. Individual provider (NPI-1).
NPI number1912401944
StatusActive
Last updated in NPPESJul 16, 2024
Details
- NPI
- 1912401944
- Entity type
- Individual (NPI-1)
- Name
- Douglas Owen Connolly
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 23, 2018
- Certification date
- Jul 16, 2024
- Last updated
- Jul 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085N0700X | 33102 | NH | Yes |
Practice location
1 Medical Center DrLebanon, NH 03756-1000
Phone 603-650-9480
Mailing address
45 Forest Glen DrHighland Park, NJ 08904-1935
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