Individual
DR. TIMOTHY WILLIAM O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 FRANCIS ST, RA-253, BOSTON, MA 02115-6110
(857) 307-0849
Mailing address
22 DUNSTER RD, APT 2, JAMAICA PLAIN, MA 02130-2704
(312) 399-9643
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
251071
MA
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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