Active NPIIndividual providerSole proprietor

Karen L Connolly, MD

Dermatology, Procedural Dermatology in West Orange, New Jersey

NPI Number1801116389
Practice location
101 Old Short Hills RD, Suite 503, West Orange, NJ 07052-1000
Fax
—
Last updated
August 26, 2016

Karen Lynn Connolly is a Dermatology, Procedural Dermatology based in West Orange, NJ. Karen Lynn Connolly practices in West Orange, NJ and has the professional credentials of MD. The NPI Number for Karen Lynn Connolly is 1801116389 and holds a License No. 25MA09704600 (NJ). The current practice location address for Karen Lynn Connolly is 101 Old Short Hills RD, Suite 503, West Orange, NJ 07052-1000 and can be reached out via phone at 973-731-9131.

Provider Profile Details

NPI Number
1801116389
Provider Name
Karen Lynn Connolly
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
101 Old Short Hills RD, Suite 503, West Orange, NJ 07052-1000
Phone Number
973-731-9131
Primary Taxonomy
Dermatology, Procedural Dermatology · 207NS0135X
Sole Proprietor
Yes
Provider Enumeration Date
June 7, 2010
Last Update Date
August 26, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
101 Old Short Hills RD
Suite 503
West Orange, NJ 07052-1000
Zip
07052-1000
Phone Number
973-731-9131
West Orange, NJ 07052Get directions →

Provider Business Mailing Address Details

Address
101 Old Short Hills RD
Suite 503
West Orange, NJ 07052-1000
City
West Orange
State
NJ
Zip
07052-1000
Phone Number
973-731-9131

License Information

License Number (1)
25MA09704600
License State (1)
NJ
Taxonomy (1)
Dermatology · 207N00000X
License Number (2)
25MA09704600
License State (2)
NJ
Taxonomy (2)
Dermatology, Procedural Dermatology · 207NS0135X · Primary
License Number (3)
273743-1
License State (3)
NY
Taxonomy (3)
Dermatology, Procedural Dermatology · 207NS0135X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Karen L Connolly, MD?

The NPI number of Karen L Connolly, MD is 1801116389. It was assigned on June 7, 2010 and is currently active in the NPPES registry.

What is the specialty of Karen L Connolly, MD?

Karen L Connolly, MD is registered under the primary taxonomy Dermatology, Procedural Dermatology (code 207NS0135X), licensed in NJ under license number 25MA09704600.

Where does Karen L Connolly, MD practice?

The practice location is 101 Old Short Hills RD, Suite 503, West Orange, NJ 07052-1000. The office can be reached at 973-731-9131 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1801116389 directly on the NPPES registry website.

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