Gregory Connolly in Burlington - Adolescent Medicine
Gregory Connolly - NPI 1366641086
Gregory Connolly is a Adolescent Medicine in Burlington, Vermont. Gregory Connolly practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Gregory Connolly is 1366641086. The last update date is 2013-10-04.
Gregory Connolly's current location address is 128 Lakeside Ave, Burlington, Vermont. You can contact this provider via phone number 8028601928 and fax number 8028600192. The mailing address for Gregory Connolly is 128 Lakeside Ave, Burlington, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Connolly |
|---|---|
| Address | 128 Lakeside Ave, Burlington, Vermont |
| Phone Number | 8028601928 |
| Fax Number | 8028600192 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1366641086 |
|---|---|
| Provider Enumeration Date | 2007-07-12 |
| Last Updated Date | 2013-10-04 |
Provider Mailing Address Detail
| Address | 128 Lakeside Ave |
|---|---|
| City | Burlington |
| State | Vermont (VT) |
| Post Code | 54014939 |
| Phone Number | 8028601928 |
| Fax Number | 8028600192 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 042-0011956 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1017604 | VT | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Gregory Connolly by the Centers for Medicare & Medicaid Services?
The Gregory Connolly has been issued the NPI (National Provider Identifier) 1366641086, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Gregory Connolly is geographically located?
The Gregory Connolly is physically situated at the following location: 128 Lakeside Ave, Burlington, VT, 54014939.
What is Gregory Connolly's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gregory Connolly is Adolescent Medicine, and the taxonomy code that classifies this field of practice is 2080A0000X.
On what date did Gregory Connolly receive its 1366641086 assignment from the Centers for Medicare & Medicaid Services?
The Gregory Connolly was assigned its 1366641086 on 2007-07-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Gregory Connolly's information last updated?
The Gregory Connolly's information was last updated on 2013-10-04.
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