Connolly, Adrian L
Connolly, Adrian L is an sole proprietor health care provider with primary practice located at 101 Old Short Hills Rd Ste 503, West Orange NJ 07052-1023. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Connolly, Adrian L can be contacted via phone (973) 731-9131.Contact Information
Primary practice address
101 Old Short Hills Rd Ste 503
West Orange NJ 07052-1023
Phone: (973) 731-9131
Fax: (973) 731-9201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MA036148 | New Jersey |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | MA036148 | New Jersey |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | MA036148 | New Jersey |
Profile Details
| NPI number | 1922001650 |
|---|---|
| LBN Legal business name | Connolly, Adrian L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 27th, 2005 |
| Last updated | Mar 10th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922001650 | NPPES |
| New Jersey | MEDICAID | 4811801 | |
| New Jersey | Other | MA036148 |
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