Individual
MR. CARSON DONNELLY O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19 PLOTTS RD, NEWTON, NJ 07860-6227
(973) 919-8734
Mailing address
19 PLOTTS RD, NEWTON, NJ 07860-6227
(973) 919-8734
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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