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Individual

DR. MICHAEL J. O'CONNOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1387 CAREW ST, SPRINGFIELD, MA 01104-2123
(413) 732-1201
Mailing address
1387 CAREW ST, SPRINGFIELD, MA 01104-2123
(413) 732-1201

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1468
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
043082314
CIGNA HEALTHCARE
MA
05
1609467
MA
01
4514819
AETNA
MA
01
616541
TUFTS
MA
01
793708
SECURE HORIZON
MA
01
Y36020
BCBS INDIVIDUAL
MA
01
Y39942
BCBS GROUP
MA
Enumeration date
12/04/2006
Last updated
07/08/2007
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