Mccollum, Mark O

Mccollum, Mark O is an individual health care provider with primary practice located at 1 Robert Wood Johnson Pl W Wing Fl 3 Ste W3234, New Brunswick NJ 08901. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is his primary health care specialty. Mccollum, Mark O can be contacted via phone (732) 828-3000.

Contact Information

Primary practice address
1 Robert Wood Johnson Pl W Wing Fl 3 Ste W3234 New Brunswick NJ 08901
Phone: (732) 828-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 25MA10025200 New Jersey
Allopathic & Osteopathic Physicians / Surgery 208600000X 25MA10025200 New Jersey
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 35.081904 Ohio

Profile Details

NPI number 1790880755
LBN Legal business name Mccollum, Mark O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Apr 15th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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