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Individual

JOHN C MCCONNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4-14 SADDLE RIVER RD, FAIR LAWN, NJ 07410-5632
(201) 791-4002
(201) 791-7040
Mailing address
4-14 SADDLE RIVER RD, FAIR LAWN, NJ 07410-5632
(201) 791-4002
(201) 791-7040

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
MA37662
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MAI0439207
NJ
Enumeration date
09/26/2005
Last updated
10/10/2007
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