Connelly, Brian

Connelly, Brian is an individual health care provider with primary practice located at 223 N Van Dien Ave , Ridgewood NJ 07450-2726. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Connelly, Brian can be contacted via phone (201) 847-9403.

Contact Information

Primary practice address
223 N Van Dien Ave Ridgewood NJ 07450-2726
Phone: (201) 847-9403
Fax: (201) 847-0059
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA05509500 New Jersey

Profile Details

NPI number 1124103106
LBN Legal business name Connelly, Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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