Connolly, Sandra Marie
Connolly, Sandra Marie is an individual health care provider with primary practice located at 500 Park Ave , Manalapan NJ 07726-8375. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Connolly, Sandra Marie can be contacted via phone (732) 679-4500.Contact Information
Primary practice address
500 Park Ave
Manalapan NJ 07726-8375
Phone: (732) 679-4500
Fax: (732) 679-4549
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25MA05783400 | New Jersey |
Profile Details
| NPI number | 1023156825 |
|---|---|
| LBN Legal business name | Connolly, Sandra Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2007 |
| Last updated | Jun 27th, 2024 - about last year |
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 | 1023156825 | NPPES |
| New Jersey | MEDICAID | 5147905 |
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