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Individual

DR. DENNIS E O'CONNOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
2 BROOKHOUSE DR, MARBLEHEAD, MA 01945-1611
(781) 631-0155
(781) 631-7195
Mailing address
2 BROOKHOUSE DR, MARBLEHEAD, MA 01945-1611
(781) 631-0155
(781) 631-7195

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1382
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
043151995
TAX IDENTIFICATION
MA
05
1609246MA
MA
01
35216
HARVARD PILGRIM HEALTHCAR
MA
01
722352
TUFTS HEALTH PLAN
MA
01
OC Y35950
BC/BS
MA
Enumeration date
08/01/2006
Last updated
06/13/2008
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