Active NPIIndividual provider

Dr. Timothy G Connelly, DO

Anesthesiology in Providence, Rhode Island

NPI Number1407986631
Practice location
825 Chalkstone Ave, Providence, RI 02908-4728
Fax
401-456-2196
Last updated
January 8, 2019

Timothy Gerard Connelly is an Anesthesiology based in Providence, RI. Timothy Gerard Connelly practices in Providence, RI and has the professional credentials of DO. The NPI Number for Timothy Gerard Connelly is 1407986631 and holds a License No. 77171 (MA). The current practice location address for Timothy Gerard Connelly is 825 Chalkstone Ave, Providence, RI 02908-4728 and can be reached out via phone at 401-456-2666 and via fax at 401-456-2196.

Provider Profile Details

NPI Number
1407986631
Provider Name
Timothy Gerard Connelly
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
825 Chalkstone Ave, Providence, RI 02908-4728
Phone Number
401-456-2666
Fax Number
401-456-2196
Primary Taxonomy
Anesthesiology · 207L00000X
Sole Proprietor
No
Provider Enumeration Date
March 6, 2007
Last Update Date
January 8, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
825 Chalkstone Ave
Providence, RI 02908-4728
Zip
02908-4728
Phone Number
401-456-2666
Fax Number
401-456-2196
Providence, RI 02908Get directions →

Provider Business Mailing Address Details

Address
690 Canton St
Ste 325
Westwood, MA 02090-2324
City
Westwood
State
MA
Zip
02090-2324
Phone Number
401-490-7530
Fax Number
401-490-7533

License Information

License Number (1)
77171
License State (1)
MA
Taxonomy (1)
Anesthesiology · 207L00000X
License Number (2)
do-390
License State (2)
RI
Taxonomy (2)
Anesthesiology · 207L00000X · 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. Timothy G Connelly, DO?

The NPI number of Dr. Timothy G Connelly, DO is 1407986631. It was assigned on March 6, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Timothy G Connelly, DO?

Dr. Timothy G Connelly, DO is registered under the primary taxonomy Anesthesiology (code 207L00000X), licensed in MA under license number 77171.

Where does Dr. Timothy G Connelly, DO practice?

The practice location is 825 Chalkstone Ave, Providence, RI 02908-4728. The office can be reached at 401-456-2666 (phone) or 401-456-2196 (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 1407986631 directly on the NPPES registry website.

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