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Individual
DR. KEVIN COLUM OCONNOR
Active
Individual
DR. KEVIN COLUM OCONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
214129
MA
2081P0004X
Spinal Cord Injury Medicine Physician
Primary
214129
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0196312
—
MA
01
—
214129
TUFTS HEALTH PLAN
MA
01
—
J25253
BCBS MA
MA
Enumeration date
12/02/2005
Last updated
09/07/2012
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