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Individual
MICHAEL J O'BRIEN
Active
Individual
MICHAEL J O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
40684
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30204395
—
NH
05
—
6169813
—
MA
Enumeration date
02/06/2006
Last updated
10/11/2019
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