Adrian L Connolly in West Orange - Procedural Dermatology
Adrian L Connolly - NPI 1922001650
Adrian L Connolly is a Procedural Dermatology in West Orange, New Jersey. Adrian L Connolly practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Adrian L Connolly is 1922001650. The last update date is 2008-03-10.
Adrian L Connolly's current location address is 101 Old Short Hills Rd, West Orange, New Jersey. You can contact this provider via phone number 9737319131 and fax number 9737319201. The mailing address for Adrian L Connolly is 101 Old Short Hills Rd, West Orange, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Adrian L Connolly |
|---|---|
| Address | 101 Old Short Hills Rd, West Orange, New Jersey |
| Phone Number | 9737319131 |
| Fax Number | 9737319201 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1922001650 |
|---|---|
| Provider Enumeration Date | 2005-05-27 |
| Last Updated Date | 2008-03-10 |
Provider Mailing Address Detail
| Address | 101 Old Short Hills Rd |
|---|---|
| City | West Orange |
| State | New Jersey (NJ) |
| Post Code | 705210230 |
| Phone Number | 9737319131 |
| Fax Number | 9737319201 |
Provider's Primary Taxonomy Detail
| Speciality | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
| Licence No | MA036148 |
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Definition: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4811801 | NJ | -- | |
| MA036148 | NJ | MEDICAL LICENSE |
Post Comment/ Review Below
Could you provide the complete physical address where Adrian L Connolly is located?
The Adrian L Connolly is situated at the following address: 101 Old Short Hills Rd, West Orange, NJ, 705210230.
On what date did Adrian L Connolly receive its 1922001650 assignment from the Centers for Medicare & Medicaid Services?
The Adrian L Connolly was assigned its 1922001650 on 2005-05-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Centers for Medicare & Medicaid Services assign the 1922001650 to Adrian L Connolly?
The Centers for Medicare & Medicaid Services assigned the 1922001650 to Adrian L Connolly on 2005-05-27.
When was the information related to Adrian L Connolly most recently updated or refreshed?
The details pertaining to the Adrian L Connolly, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-03-10.
As of what date was the information regarding Adrian L Connolly, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Adrian L Connolly, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-03-10.
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