Individual
MS. ELLEN ANN O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M
Contact information
Practice address
714 BERGEN AVE, JERSEY CITY, NJ 07306-4802
(201) 434-7906
Mailing address
75 BENNETT AVE, KEARNY, NJ 07032-3113
(201) 997-3535
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
25ME00012001
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1479601
—
NJ
Enumeration date
08/29/2006
Last updated
07/08/2007
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