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Contact Information

MARK W CONNOLLY, MD
703 MAIN ST
DEPARTMENT OF SURGERY
PATERSON, NJ07503-2621
 Phone: 973-754-2460
 Fax: 973-754-2462
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MARK W CONNOLLY · (Male)

NPI Number 1326010612
Status Active
Credentials MD
Entity Individual
Enumeration date 02/02/2006
Last updated 09/09/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MA07436900
  • NJ Medicaid 6504906
  • NJ Other 060268 MADICARE ID-TYPE UNSPECIFIED
Hospital affiliation(s)
  • ST JOSEPH'S REGIONAL MEDICAL CENTER - (Acute Care)
    703 MAIN ST
    PATERSON, NJ 07503
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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