Individual
DR. MARY KATHRYN O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
150 BERGEN ST, INTERNAL MEDICINE-PEDIATRICS RESIDENCY PROGRAM RM I248, NEWARK, NJ 07103-2496
(973) 972-6056
Mailing address
150 BERGEN ST, INTERNAL MEDICINE-PEDIATRICS RESIDENCY PROGRAM RM I248, NEWARK, NJ 07103-2496
(973) 972-6056
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA10829300
NJ
208000000X
Pediatrics Physician
25MA10829300
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2016
Last updated
07/23/2021
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