Individual
DR. JAMES J OCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
780 ALBANY ST, BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, BOSTON, MA 02118-2524
(617) 726-1818
(857) 654-1093
Mailing address
780 ALBANY ST, BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, BOSTON, MA 02118-2524
(617) 726-1818
(857) 654-1093
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
53045
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
053045
TUFTS HEALTH PLAN
MA
05
—
3000028
—
MA
01
—
J04062
BCBS MA
MA
Enumeration date
12/30/2005
Last updated
11/14/2010
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