Individual
DONALD G CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3639 E VIEW DR, OREFIELD, PA 18069-2034
(610) 428-1544
(610) 395-9336
Mailing address
285 DAVIDSON AVE, STE 204, SOMERSET, NJ 08873-4153
(732) 271-1400
(732) 271-3544
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-200304-L
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
027196
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019682070001
—
PA
05
—
0019682070003
—
PA
01
—
11803004
CAQH
PA
01
—
1402212
FIRST PRIORITY
PA
01
—
1545071
GATEWAY
PA
01
—
2090513000
IBC
PA
01
—
50014781
CAPITAL ADVANTAGE
PA
01
—
7389432
AETNA
PA
01
—
77539
GEISINGER
PA
Enumeration date
06/27/2005
Last updated
04/22/2016
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