Provider Demographics
NPI:1467568139
Name:CONNELL, REBECCA KATHLEEN (MD)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:KATHLEEN
Last Name:CONNELL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:385 TREMONT AVE
Mailing Address - Street 2:PULMONARY DIVISION
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07018-1023
Mailing Address - Country:US
Mailing Address - Phone:973-676-1000
Mailing Address - Fax:973-395-7034
Practice Address - Street 1:385 TREMONT AVE
Practice Address - Street 2:PULMONARY DIVISION
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-1023
Practice Address - Country:US
Practice Address - Phone:973-676-1000
Practice Address - Fax:973-395-7034
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2007-07-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA06037300207RP1001X
NJ207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease