Individual
JUSTIN R CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1057 S BRADFORD ST, DOVER, DE 19904-4141
(302) 231-1245
(302) 231-1246
Mailing address
1057 S BRADFORD ST, DOVER, DE 19904-4141
(302) 231-1245
(302) 231-1246
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
530196961
DC
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
C1-0009837
DE
207XP3100X
Pediatric Orthopaedic Surgery Physician
C7-0004483
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201159650A
—
KS
05
—
250499212
—
DE
Enumeration date
07/15/2008
Last updated
02/10/2022
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