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Individual

DR. MATTHEW J O BRIEN

Active
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Individual

DR. MATTHEW J O BRIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
141215-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010129001
UNIVERA
NY
01
—
000508257001
HEALTH NOW
NY
05
—
00644546
—
NY
01
—
0403994
IHA
NY
01
—
141215-4W
WORKERS COMPENSATION
NY
Enumeration date
05/05/2006
Last updated
04/14/2008
About Stedi
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