| M. Kevin O'connor Md Llc | |
|
225 Millburn Ave Suite 210 Millburn NJ 07041-1737 | |
| (973) 912-0200 | |
| (973) 376-8039 |
| Full Name | M. Kevin O'connor Md Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 225 Millburn Ave, Millburn, New Jersey |
| Authorized Official Name and Position | Michael Kevin O'connor (OWNER) |
| Authorized Official Contact | 9739120200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M. Kevin O'connor Md Llc 225 Millburn Ave Suite 210 Millburn NJ 07041-1737 Ph: (973) 912-0200 | M. Kevin O'connor Md Llc 225 Millburn Ave Suite 210 Millburn NJ 07041-1737 Ph: (973) 912-0200 |
| NPI Number | 1043476450 |
|---|---|
| Provider Enumeration Date | 08/05/2008 |
| Last Update Date | 08/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043476450 | NPI | - | NPPES |
| 1033257431 | Other | NJ | NPI # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 25MA07734100 (New Jersey) | Primary |
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