Individual
MR. BRIAN JOHN O'NEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, MSN, CCRN-CSC
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 412-6904
(203) 688-1663
Mailing address
2 GLEN ST, MILFORD, CT 06460-6526
(203) 301-0331
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
002360
CT
Other
Enumeration date
07/25/2006
Last updated
07/09/2007
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