Active NPIIndividual provider

Dr. Robert Connelly, MD

Internal Medicine in Brookfield, Connecticut

NPI Number1093754590
Practice location
401 Federal RD, Brookfield, CT 06804-2037
Fax
203-740-3010
Last updated
August 12, 2020

Robert Connelly is an Internal Medicine based in Brookfield, CT. Robert Connelly practices in Brookfield, CT and has the professional credentials of MD. The NPI Number for Robert Connelly is 1093754590 and holds a License No. 036-109804 (IL). The current practice location address for Robert Connelly is 401 Federal RD, Brookfield, CT 06804-2037 and can be reached out via phone at 203-775-6365 and via fax at 203-740-3010.

Provider Profile Details

NPI Number
1093754590
Provider Name
Robert Connelly
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
401 Federal RD, Brookfield, CT 06804-2037
Phone Number
203-775-6365
Fax Number
203-740-3010
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
June 6, 2006
Last Update Date
August 12, 2020
Certification Date
August 12, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
401 Federal RD
Brookfield, CT 06804-2037
Zip
06804-2037
Phone Number
203-775-6365
Fax Number
203-740-3010
Brookfield, CT 06804Get directions →

Provider Business Mailing Address Details

Address
1913 W North Ave
Chicago, IL 60622-1316
City
Chicago
State
IL
Zip
60622-1316

License Information

License Number (1)
036-109804
License State (1)
IL
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
65250
License State (2)
CT
Taxonomy (2)
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Robert Connelly, MD?

The NPI number of Dr. Robert Connelly, MD is 1093754590. It was assigned on June 6, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Robert Connelly, MD?

Dr. Robert Connelly, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in IL under license number 036-109804.

Where does Dr. Robert Connelly, MD practice?

The practice location is 401 Federal RD, Brookfield, CT 06804-2037. The office can be reached at 203-775-6365 (phone) or 203-740-3010 (fax).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093754590 directly on the NPPES registry website.

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