Individual
DR. EVAN DOUGLAS O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1225 N BROAD ST STE 3, WEST DEPTFORD, NJ 08096-1203
(856) 845-0707
(856) 845-0082
Mailing address
90 MATAWAN RD STE 302, MATAWAN, NJ 07747-2653
(732) 441-7177
(732) 441-7165
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
25MA06352500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2003795000
KEYSTONE HEALTH PLAN EAST
NJ
01
—
232764000
HORIZON
NJ
Enumeration date
09/26/2006
Last updated
11/25/2025
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