Individual
MISS MARY TERESA O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
25 S UNION AVE, CRANFORD, NJ 07016-2843
(908) 709-1323
(908) 709-1329
Mailing address
14 MEADOWBROOK CT, SUMMIT, NJ 07901-2317
(908) 273-7983
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
25MA04406400
NJ
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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