Individual
DR. MARK O MCCOLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL, W WING FL 3 STE W3234, NEW BRUNSWICK, NJ 08901
(732) 828-3000
Mailing address
1 PERKINS SQ, AKRON, OH 44308-1063
(330) 543-6060
(330) 543-8463
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA10025200
NJ
2086S0120X
Pediatric Surgery Physician
Primary
25MA10025200
NJ
2086S0120X
Pediatric Surgery Physician
35.081904
OH
Other
Enumeration date
09/14/2006
Last updated
04/15/2024
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