Individual
MICHAEL CHARLES O'CONNOR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11 NEVINS ST, SUITE 201, BRIGHTON, MA 02135
(617) 779-6382
(617) 789-2307
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
036.160359
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
1020222
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110214335A
—
MA
05
—
3148103
—
NH
Enumeration date
07/06/2017
Last updated
03/13/2025
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