Individual
OWEN ROBERT MCCONVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 POND PARK RD., STE. 102, HINGHAM, MA 02043-4309
(781) 337-5555
(781) 331-0300
Mailing address
2 POND PARK RD., STE. 102, HINGHAM, MA 02043-4309
(781) 337-5555
(781) 331-0300
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
57979
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057979
TUFTS HEALTH PLAN
—
01
—
106348
BLUE SHIELD
—
01
—
171347
HARVARD PILGRIM HEALTH
—
05
—
3026604
—
MA
01
—
341179
ONE HEALTH
—
01
—
900078
UNITED HEALTH CARE
—
01
—
B20457701
CIGNA HEALTH CARE
—
Enumeration date
08/10/2005
Last updated
10/11/2011
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