Morris, Mark Maccollom

Morris, Mark Maccollom is an individual health care provider with primary practice located at 26 Millburn Ave , Springfield NJ 07081-1071. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Morris, Mark Maccollom can be contacted via phone (973) 258-1776.

Contact Information

Primary practice address
26 Millburn Ave Springfield NJ 07081-1071
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 25MB07847900 New Jersey
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MB07847900 New Jersey

Profile Details

NPI number 1851390199
LBN Legal business name Morris, Mark Maccollom
Credentials DO, FACOP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Jun 13th, 2013 - about 12 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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