Alec Joseph Connell

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Swansea, MA

NPI 1104485127 · NPPES record last updated Jun 12, 2019

Key facts

NPI
1104485127
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
463 Swansea Mall Dr
Swansea, MA 02777-4119
Phone
(508) 324-0328
NPI assigned
Jun 12, 2019
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

463 Swansea Mall Dr
Swansea, MA 02777-4119

Mailing address

72 Bourne Rd
Swansea, MA 02777-3021
Phone (508) 542-0644

Other providers in Swansea, MA

All providers in Swansea, MA · Student in an Organized Health Care Education/Training Program in Massachusetts

Sources for this page

Verify at the official NPI Registry.