Thomas J Connolly in Jacksonville - Adolescent Medicine
Thomas J Connolly - NPI 1093708125
Thomas J Connolly is a Adolescent Medicine in Jacksonville, Florida. Thomas J Connolly practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Thomas J Connolly is 1093708125. The last update date is 2007-07-08.
Thomas J Connolly's current location address is 2121 Park St, Jacksonville, Florida. You can contact this provider via phone number 9043876200 and fax number 9043870261. The mailing address for Thomas J Connolly is 2121 Park St, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas J Connolly |
|---|---|
| Address | 2121 Park St, Jacksonville, Florida |
| Phone Number | 9043876200 |
| Fax Number | 9043870261 |
| Sole Proprietor | X |
| Credentials | MD05/25 |
NPI Number Detail
| NPI Number | 1093708125 |
|---|---|
| Provider Enumeration Date | 2005-08-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2121 Park St |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322043811 |
| Phone Number | 9043876200 |
| Fax Number | 9043870261 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | ME 85592 |
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Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Thomas J Connolly by the Centers for Medicare & Medicaid Services?
The Thomas J Connolly has been issued the NPI (National Provider Identifier) 1093708125 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Thomas J Connolly is geographically located?
The Thomas J Connolly is physically situated at the following location: 2121 Park St, Jacksonville, FL, 322043811.
What is the Thomas J Connolly's area of specialization and corresponding taxonomy classification?
The Thomas J Connolly's specialty field is Adolescent Medicine, and it falls under the taxonomy code 2080A0000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1093708125 to Thomas J Connolly?
The Thomas J Connolly received its 1093708125 assignment from the Centers for Medicare & Medicaid Services on 2005-08-24.
As of what date was the information pertaining to Thomas J Connolly, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Thomas J Connolly, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.