O'Connell, Mark M

O'Connell, Mark M is an individual health care provider with primary practice located at 111 Lawrenceville Rd Advanced Urgent Care Of Lawrenceville, Lawrenceville NJ 08648-4307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. O'Connell, Mark M can be contacted via phone (609) 943-2071.

Contact Information

Primary practice address
111 Lawrenceville Rd Advanced Urgent Care Of Lawrenceville Lawrenceville NJ 08648-4307
Phone: (609) 943-2071
Fax: (609) 943-2077
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 25MA06567600 New Jersey

Profile Details

NPI number 1558365148
LBN Legal business name O'Connell, Mark M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Nov 16th, 2011 - about 14 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 1558365148 NPPES
New Jersey MEDICAID 8527903

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