Individual
MICHAEL J. CONN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
870 PALISADE AVE, SUITE 203, TEANECK, NJ 07666-3419
(201) 836-9296
Mailing address
870 PALISADE AVE, SUITE 203, TEANECK, NJ 07666-3419
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MA59246
NJ
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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