Individual
DAVID CONYACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
200 S ORANGE AVE, SUITE 201, LIVINGSTON, NJ 07039-5817
(197) 332-7799
(973) 322-7791
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(844) 414-8291
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MB06042200
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
25MB06042200
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
MB06042200
NJ
208VP0000X
Pain Medicine Physician
MB06042200
NJ
208VP0014X
Interventional Pain Medicine Physician
MB06042200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7371101
—
NJ
Enumeration date
02/09/2007
Last updated
07/21/2022
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