Dr. Gregory Connolly
MD | Pediatric Adolescent Medicine | Male
Dr. Gregory Connolly, MD is a Burlington, Vermont based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Gregory Connolly is
128 Lakeside Ave, Suite 115, Burlington, Vermont - 05401-4939. He can be contacted on phone at
802-860-1928 and fax number 802-860-0192.
Dr. Gregory Connolly is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Gregory Connolly is
1366641086 which was assigned by NPPES on 12 Jul, 2007 and it was last updated on 04 Oct, 2013.
Dr. Gregory Connolly license number is
042-0011956 for Pediatrics Adolescent Medicine (2080A0000X) in Vermont.
Dr. Gregory Connolly 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.
Complete Profile:
Dr. Gregory Connolly basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. Gregory Connolly |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Gregory Connolly address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 128 Lakeside Ave, Suite 115
Burlington, VT, 05401-4939
United States |
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| Phone Number : | 802-860-1928 |
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| Fax Number : | 802-860-0192 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1366641086 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 12 Jul, 2007 |
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| Last Updated On : | 04 Oct, 2013 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Gregory Connolly are as mentioned. Primary taxonomy code for Dr. Gregory Connolly, MD is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 042-0011956 | VT |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Gregory Connolly such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 1017604 | MEDICAID | VT | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 128 Lakeside Ave, Suite 115
Burlington, VT, 05401-4939
United States |
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| Phone Number : | 802-860-1928 |
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| Fax Number : | 802-860-0192 |
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Business Location:
Patients can refer following map for directions to
Dr. Gregory Connolly practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.