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Individual

MR. AUSTIN JOHN O'BRIEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
595 PAWTUCKET BLVD. 2ND FL, 2ND FLOOR, LOWELL, MA 01852
(978) 459-8447
(978) 459-6125
Mailing address
595 PAWTUCKET BLVD, 2ND FLOOR, LOWELL, MA 01854-2042
(978) 459-8447
(978) 459-6125

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
76888
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3116930
MA
01
J13899
BS
MA
Enumeration date
11/16/2005
Last updated
12/17/2019
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