Connolly LLC

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

CONNOLLY LLC

Practice address

555 E North LN Ste 6020
Conshohocken, PA 19428-2249

Phone

(203) 423-1360

NPI assigned

Dec 2, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Bailey Hansford

Title

Director - Eligibility

Phone

(203) 423-1360

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1164829487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E NORTH LN STE 6020",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E NORTH LN STE 6020",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282249",
            "telephone_number": "203-423-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNOLLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-02",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "HANSFORD",
        "authorized_official_first_name": "BAILEY",
        "authorized_official_title_or_position": "DIRECTOR - ELIGIBILITY",
        "authorized_official_telephone_number": "203-423-1360",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Contractor in Conshohocken, PA
• Providers in Conshohocken, PA by specialty
• Contractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.