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
Phone: (973) 258-1776
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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