Individual
JOHN J. O'CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
69 STATE ST, NORTHAMPTON, MA 01060-3049
(413) 586-8156
Mailing address
69 STATE ST, NORTHAMPTON, MA 01060-3049
(413) 586-8156
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
153367
MA
2084N0600X
Clinical Neurophysiology Physician
153367
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111105
HARVARD PILGRIM
MA
01
—
153367
CONNECTICARE
MA
01
—
20119
HEALTH NEW ENGLAND
MA
01
—
23890
BMC
MA
01
—
3676690
AETNA
MA
01
—
403137
TUFTS
MA
01
—
7404242
CIGNA
MA
05
—
9734350
—
MA
01
—
J14723
BCBSMA
MA
Enumeration date
12/13/2005
Last updated
07/13/2007
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