Individual provider · Type 1 NPI

Marc Donald Connell Jr., MD

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1104666411 Active

Practice location

5501 Old York Rd Ste 1
Philadelphia, PA 19141-3098

Call (215) 456-8520 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104666411

Marc Donald Connell Jr., MD's National Provider Identifier is 1104666411, issued on May 27, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on May 27, 2024.