Dr. Michael Connolly
M.D. | Pediatrics | Male
Dr. Michael Connolly, M.D. is a Stratford, Connecticut based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Michael Connolly is
2900 Main St, Suite 3c, Stratford, Connecticut - 06614-4946. He can be contacted on phone at
203-378-3080 and fax number 203-377-3897.
Dr. Michael Connolly is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Michael Connolly is
1255390555 which was assigned by NPPES on 23 Mar, 2006 and it was last updated on 31 May, 2013.
Dr. Michael Connolly license number is
028136 for Pediatrics (208000000X) in Connecticut.
Dr. Michael Connolly is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Michael Connolly basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization : | Pediatrics |
---|
Provider Name : | Dr. Michael Connolly |
---|
Credential : | M.D. |
---|
Gender : | Male |
---|
Business Address:
Dr. Michael 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 : | 2900 Main St, Suite 3c Stratford, CT, 06614-4946 United States |
---|
Phone Number : | 203-378-3080 |
---|
Fax Number : | 203-377-3897 |
---|
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 : | 1255390555 |
---|
NPI Entity Type : | Individual |
---|
First Enrolment Date : | 23 Mar, 2006 |
---|
Last Updated On : | 31 May, 2013 |
---|
Medicare Participation:
Dr. Michael Connolly participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
Medicare PECOS ID : | 3476612557 |
---|
Medicare Enrollment ID : | I20090302000560 |
---|
Primary Specialty : | Pediatric Medicine |
---|
Medical School : | Other |
---|
Graduation Year : | 1984 |
---|
Accepts Medicare? | Yes. Dr. Michael Connolly accepts medicare insurance. |
---|
Group Practice Association:
Dr. Michael Connolly is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Michael Connolly is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
---|
Northeast Medical Group Inc | 1254233836 | 1204 | 95 Armory Rd Stratford, CT - 066141702 Ph: 2033843388 | Yes |
Northeast Medical Group Inc | 1254233836 | 1204 | 2900 Main St Stratford, CT - 066144946 | Yes |
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. Michael Connolly are as mentioned. Primary taxonomy code for Dr. Michael Connolly, M.D. is
208000000X (Pediatrics).
Taxonomy Code | Speciality | Primary | License No. | State |
---|
207R00000X | Internal Medicine | No | 028136 | CT |
208000000X | Pediatrics | Yes | 028136 | CT |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Michael Connolly such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
Identifier | Identifier Type | State | Issuer |
---|
001281360 | MEDICAID | CT | |
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 : | 2900 Main St, Suite 3c Stratford, CT, 06614-4946 United States |
---|
Phone Number : | 203-378-3080 |
---|
Fax Number : | 203-377-3897 |
---|
Business Location:
Patients can refer following map for directions to
Dr. Michael 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.