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Individual

DR. ANDREW O'NEILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
17 HAWTHORNE AVE, PARK RIDGE, NJ 07656-1212
(201) 505-8984
(201) 505-8986
Mailing address
17 HAWTHORNE AVE, PARK RIDGE, NJ 07656-1212
(201) 505-8984
(201) 505-8986

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00729600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
470469
MEDICARE PTAN
NJ
Enumeration date
11/27/2015
Last updated
02/10/2016
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