Individual
DR. AENGUS OCONGHAILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MB BCH BAO
Contact information
Practice address
940 BELMONT ST, BROCKTON, MA 02301-5596
(774) 826-2458
Mailing address
940 BELMONT ST, BROCKTON, MA 02301-5596
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
255505
MA
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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