Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Plastic and Reconstructive Surgery |
2086S0122X | 02 | Physician/General Surgery |
| NPI # | 1295187482 |
| LBN Legal business name | TIMOTHY P CONNALL MD PC |
| Authorized official | TIMOTHY CONNALL - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/12/2016 |
| Last updated | 07/12/2016 - About 10 years ago |
| Identifiers | n/a |
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TIMOTHY P CONNALL MD PC
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