| Dr Mark William Connolly, MD | |
|
703 Main St, Department Of Surgery, Paterson, NJ 07503-2621 | |
| (973) 754-2460 | |
| (973) 754-2462 |
| Full Name | Dr Mark William Connolly |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery |
| Experience | 44 Years |
| Location | 703 Main St, Paterson, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326010612 | NPI | - | NPPES |
| 060268 | Other | NJ | MADICARE ID-TYPE UNSPECIFIED |
| 6504906 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 25MA07436900 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph's University Medical Center Inc | Paterson, NJ | Hospital |
| United Health Services Hospitals, Inc | Binghamton, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| United Medical Associates Pc | 0345144978 | 229 |
| St Josephs Medical Group Pc | 8628470325 | 217 |
| Entity Name | United Medical Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013972801 PECOS PAC ID: 0345144978 Enrollment ID: O20031125000020 |
| Entity Name | United Health Services Hospitals, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962463851 PECOS PAC ID: 5193610533 Enrollment ID: O20040216001017 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark William Connolly, MD 703 Main St, Paterson, NJ 07503-2621 Ph: (973) 754-2000 | Dr Mark William Connolly, MD 703 Main St, Department Of Surgery, Paterson, NJ 07503-2621 Ph: (973) 754-2460 |
Dr. Wilmo C Orejola, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-2484 |