Mcdonough, Christian Paul
Mcdonough, Christian Paul is an sole proprietor health care provider with primary practice located at 351 Maywood Ave Fl 2 , Maywood NJ 07607-1906. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Hospital Units / Medicare Defined Swing Bed Unit. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Mcdonough, Christian Paul can be contacted via phone (201) 546-1374.Contact Information
Primary practice address
351 Maywood Ave Fl 2
Maywood NJ 07607-1906
Phone: (201) 546-1374
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 25MA08741600 | New Jersey |
Hospital Units / Medicare Defined Swing Bed Unit | 275N00000X | 240836 | New York |
Profile Details
NPI number | 1194925644 |
---|---|
LBN Legal business name | Mcdonough, Christian Paul |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 23rd, 2007 |
Last updated | Sep 21st, 2011 - about 13 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 | 1194925644 | NPPES |
New Jersey | MEDICAID | 0236934 | |
New Jersey | Other | P00953296 |
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