Individual
DR. MARY JANE O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
85 HERRICK ST, C/O SHARON HAYES, RADIOLOGY DEPT, BEVERLY, MA 01915-1790
(978) 922-3000
(978) 921-7011
Mailing address
2527 CRANBERRY HIGHWAY, ATTN: NANCI KARDOS-CARLL/PROVIDER RELATIONS DEPT., WAREHAM, MA 02571-1046
(800) 841-5200
(508) 273-1241
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
154176
MA
2085R0204X
Vascular & Interventional Radiology Physician
154176
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
154176
TUFTS HEALTH PLAN
MA
05
—
3166678
—
MA
01
—
J17687
BCBS MA
MA
Enumeration date
11/09/2005
Last updated
08/07/2012
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