Individual
MRS. COLLEEN E. O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
55 FRUIT ST, GRB 109, BOSTON, MA 02114-2621
(617) 726-8514
(617) 724-6747
Mailing address
55 FRUIT ST, GRB 109, BOSTON, MA 02114-2621
(617) 726-8514
(617) 724-6747
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2387
MA
Other
Enumeration date
06/26/2006
Last updated
08/24/2016
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