Individual
JEFFREY R. MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1250 S CEDAR CREST BLVD STE 110, ALLENTOWN, PA 18103-6224
(610) 402-8900
(610) 402-5656
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD036203E
PA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
MD036203E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019478600004
—
PA
01
—
0729687000
KEYSTONE EAST
PA
01
—
0962542
CIGNA
PA
01
—
200046150
RAILROAD MEDICARE
PA
01
—
4357330
AETNA
PA
01
—
478769
BLUE SHIELD
PA
01
—
50010433
BLUE CROSS
PA
01
—
78711
GEISINGER
PA
01
—
821246
FIRST PRIORITY HEALTH
PA
01
—
P2949827
OXFORD
PA
Enumeration date
08/22/2005
Last updated
09/10/2018
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