Individual
DR. MARK WILLIAM CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
703 MAIN ST, DEPARTMENT OF SURGERY, PATERSON, NJ 07503-2621
(973) 754-2460
(973) 754-2462
Mailing address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-2000
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
25MA07436900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060268
MADICARE ID-TYPE UNSPECIFIED
NJ
05
—
6504906
—
NJ
Enumeration date
02/02/2006
Last updated
09/09/2025
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