Individual
EDWARD J ONEIL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
736 CAMBRIDGE ST, SEMC - EMERGENCY DEPARTMENT, BRIGHTON, MA 02135-2907
(617) 789-2335
Mailing address
BMCHS PROVIDER ENROLLMENT, 960 MASSACHUSETTS AVE FLR 2, BOSTON, MA 02118
(617) 789-3000
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
71533
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3099792
—
MA
Enumeration date
06/11/2007
Last updated
03/11/2025
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