Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES WILLIAM CONNOLLY, DPM
Active Sole ProprietorDR. CHARLES WILLIAM CONNOLLY, DPM is a Podiatrist healthcare provider located in SOMERVILLE, Massachusetts. NPI 1932105095 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · SOMERVILLE, MA
Registration Details
- NPI Number
- 1932105095
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 23, 2005 (21.117019938502 yrs)
- Last Updated
- Apr 24, 2012
- License
-
1784 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
120 COLLEGE AVESOMERVILLE, MA, 021441919Browse MA providers · Browse ZIP 02144
- Phone
- 6177762500
- Fax
- 6177763850
- Primary Specialty
-
Podiatrist
213E00000X
Other Podiatrist Providers in SOMERVILLE, MA
| Name | Credential | NPI |
|---|---|---|
| BRIAN D TEDESCO | D.P.M. | 1588628853 |
| DR. MICHAEL HERCULES THEODOULOU | D.P.M. | 1760430755 |
| DR. PASQUALE CANCELLIERE | DPM | 1184860835 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.