Individual
DR. KEITH OCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
61 CRESCENT AVE, STE B, WALDWICK, NJ 07463-1400
(201) 444-1988
(201) 444-8709
Mailing address
61 CRESCENT AVE, STE B, WALDWICK, NJ 07463-1400
(201) 444-1988
(201) 444-8709
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00268600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5231400
—
NJ
01
—
X4139110
EMPIRE BCBS
NJ
Enumeration date
06/24/2005
Last updated
07/13/2010
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