Individual
TIMOTHY JOHN O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
17 RIVERSIDE ST STE 101, NASHUA, NH 03062-1383
(603) 883-0091
(603) 881-3739
Mailing address
17 RIVERSIDE ST STE 101, NASHUA, NH 03062-1383
(603) 883-0091
(603) 881-3739
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1755
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3129124
—
NH
Enumeration date
06/22/2021
Last updated
01/26/2024
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