Individual
MISS JORDAN O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
55 FOGG RD, WEYMOUTH, MA 02190
(781) 624-3889
(781) 624-6730
Mailing address
BOX 85, 55 FOGG RD, WEYMOUTH, MA 02190
(781) 624-3889
(781) 624-6730
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA4141
MA
Other
Enumeration date
02/24/2011
Last updated
06/10/2015
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