Individual
JAMES K OBRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
179 N BROAD ST, NORWICH, NY 13815-1019
(607) 337-4215
(607) 337-4102
Mailing address
179 N BROAD ST, NORWICH, NY 13815-1019
(607) 337-4215
(607) 337-4102
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
168234
NY
207RC0000X
Cardiovascular Disease Physician
8121
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009737
—
VT
01
—
11V069
MVP
VT
01
—
8369
BC/BS OF VT
VT
Enumeration date
09/11/2007
Last updated
01/15/2015
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