Individual
DR. MICHAEL B O'NEILL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
328 SPARTA AVE, SPARTA, NJ 07871
(973) 729-2197
(973) 729-5653
Mailing address
328 SPARTA AVE, SPARTA, NJ 07871
(973) 729-2197
(973) 729-5653
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA029820
NJ
208000000X
Pediatrics Physician
MD044367L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1237209
—
NJ
Enumeration date
04/28/2006
Last updated
07/08/2007
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