Mcdonough, Christian Paul

Mcdonough, Christian Paul is an sole proprietor health care provider with primary practice located at 351 Maywood Ave Fl 2 , Maywood NJ 07607-1906. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Hospital Units / Medicare Defined Swing Bed Unit. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Mcdonough, Christian Paul can be contacted via phone (201) 546-1374.

Contact Information

Primary practice address
351 Maywood Ave Fl 2 Maywood NJ 07607-1906
Phone: (201) 546-1374
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25MA08741600 New Jersey
Hospital Units / Medicare Defined Swing Bed Unit 275N00000X 240836 New York

Profile Details

NPI number 1194925644
LBN Legal business name Mcdonough, Christian Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 23rd, 2007
Last updated Sep 21st, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194925644 NPPES
New Jersey MEDICAID 0236934
New Jersey Other P00953296

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