DR. MARY T KONDOLEON MD NPI 1083643597

NPI Information

DR. Mary T Kondoleon, MD is an obstetrics gynecology in Hackensack, NJ. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Mary T Kondoleon, MD NPI is 1083643597. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

30 PROSPECT AVE
DEPT OF OBGYN
HACKENSACK, NJ
ZIP 07601-914
Phone: (201) 996-2755

The enumeration date for this NPI number is 6/30/2006 and was last updated on 9/21/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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