Provider Demographics
NPI:1427756063
Name:MCGLYNN, CONNOR
Entity type:Individual
Prefix:
First Name:CONNOR
Middle Name:
Last Name:MCGLYNN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:184 US HIGHWAY 9
Mailing Address - Street 2:
Mailing Address - City:ENGLISHTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-8454
Mailing Address - Country:US
Mailing Address - Phone:732-408-4492
Mailing Address - Fax:
Practice Address - Street 1:184 US HIGHWAY 9
Practice Address - Street 2:
Practice Address - City:ENGLISHTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07726-8454
Practice Address - Country:US
Practice Address - Phone:732-408-4492
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-22
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist