Individual
NEIL O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
151 CENTENIAL AVE, PISCATAWAY, NJ 08854
(732) 235-4893
Mailing address
151 CENTENNIAL AVE, PISCATAWAY, NJ 08854-3907
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0034339
—
NJ
Enumeration date
06/21/2017
Last updated
06/21/2017
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