Individual
DR. ANDREW O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
UMDNJ RWJ MEDICAL SCHOOL, 125 PATERSON STREET MEB 104, NEW BRUNSWICK, NJ 08901
(732) 235-8717
Mailing address
66 WEST GILBERT ST, REDBANK, NJ 07701
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
237054
NY
207P00000X
Emergency Medicine Physician
Primary
25MA08020100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0097861
—
NJ
05
—
02708565
—
NY
01
—
P00304454
RR MCR PTAN
NJ
Enumeration date
04/27/2006
Last updated
07/31/2020
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