Individual
GARRETT MCCONVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 BAY AVE, MONTCLAIR, NJ 07042-4837
(973) 429-6037
Mailing address
833 RAMSAY ST, BALTIMORE, MD 21230-2102
(201) 390-0833
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/13/2019
Last updated
01/13/2019
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