Individual
JEFFREY MICHAEL O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
85 SEYMOUR ST, SUITE 409, HARTFORD, CT 06106-5501
(860) 522-4158
Mailing address
330 WASHINGTON ST, STE 520, NORWICH, CT 06360-2700
(860) 545-7602
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002132
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003021326
—
CT
Enumeration date
08/05/2008
Last updated
05/24/2019
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