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Individual

DR. ADRIAN L CONNOLLY III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
101 OLD SHORT HILLS RD, STE 503, WEST ORANGE, NJ 07052-1023
(973) 731-9131
(973) 731-9201
Mailing address
201 S LIVINGSTON AVE STE 1C, LIVINGSTON, NJ 07039-4040
(908) 509-1938
(856) 543-9095

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MA036148
NJ
207ND0101X
MOHS-Micrographic Surgery Physician
MA036148
NJ
207NS0135X
Procedural Dermatology Physician
MA036148
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4811801
NJ
01
MA036148
MEDICAL LICENSE
NJ
Enumeration date
05/27/2005
Last updated
10/01/2024
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