# ANDREW O'NEILL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1871215814
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | 25MP00734300 | NJ | — |
| 363A00000X | Physician Assistant | 25MP00734300 | NJ | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363AS0400X | Surgical Physician Assistant | 25MP00734300 | NJ | — |

## Other

- **Enumeration date:** 09/15/2022
- **Last updated:** 02/28/2025