Mcconnell, John C

Mcconnell, John C is an individual health care provider with primary practice located at 4-14 Saddle River Rd , Fair Lawn NJ 07410-5632. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Mcconnell, John C can be contacted via phone (201) 791-4002.

Contact Information

Primary practice address
4-14 Saddle River Rd Fair Lawn NJ 07410-5632
Phone: (201) 791-4002
Fax: (201) 791-7040
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X MA37662 New Jersey

Profile Details

NPI number 1154317063
LBN Legal business name Mcconnell, John C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Oct 10th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154317063 NPPES
New Jersey MEDICAID MAI0439207

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