Individual
DARREN STEPHEN O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 ENFIELD ST, ENFIELD, CT 06082-2961
(860) 741-6058
(860) 741-6864
Mailing address
2150 MAIN STREET, SPRINGFIELD, MA 01104
(413) 739-5676
(413) 739-2278
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036429
CT
207R00000X
Internal Medicine Physician
151285
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010036429CT01
BLUE CROSS BLUE SHIELD
CT
01
—
151285
TUFTS HEALTH PLAN
MA
01
—
24085
HEALTH NEW ENGLAND
MA
05
—
3176835
—
MA
01
—
J18564
BLUE CROSS BLUE SHIELD
MA
Enumeration date
06/12/2006
Last updated
02/16/2010
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