Organization
M. KEVIN O'CONNOR MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KEVIN O'CONNOR MD (OWNER)
(973) 912-0200
Entity
Organization
Contact information
Practice address
225 MILLBURN AVE, SUITE 210, MILLBURN, NJ 07041-1737
(973) 912-0200
(973) 376-8039
Mailing address
225 MILLBURN AVE, SUITE 210, MILLBURN, NJ 07041-1737
(973) 912-0200
(973) 376-8039
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
25MA07734100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033257431
NPI #
NJ
Enumeration date
08/05/2008
Last updated
08/05/2008
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