Individual
JEANNE M OCONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7000
(732) 321-7330
Mailing address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7000
(732) 321-7330
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00102200
NJ
363AM0700X
Medical Physician Assistant
Primary
25MP00102200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0346128
—
NJ
01
—
25MP00102200
LICENSE
NJ
Enumeration date
04/06/2007
Last updated
05/03/2026
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