Individual
ELLEN M MCCAFFERTY-OCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1250 HANCOCK ST, QUINCY, MA 02169-4339
(617) 774-0820
(617) 774-0832
Mailing address
1250 HANCOCK ST, QUINCY, MA 02169-4339
(617) 774-0820
(617) 774-0832
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
164362
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP1768
BCBS
MA
Enumeration date
03/09/2006
Last updated
02/23/2021
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