Individual provider · Type 1 NPI
Mary Teresa O'Connor, MD
Clinic/Center · Cranford, NJ
NPI number
1912920406
Active
Practice location
25 S Union Ave
Cranford, NJ 07016-2843
Fax (908) 709-1329
Mailing address
14 Meadowbrook Ct
Summit, NJ 07901-2317
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 25MA04406400 (NJ) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2 other providers at this address
About NPI 1912920406
Mary Teresa O'Connor, MD's National Provider Identifier is 1912920406, issued on Jul 25, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Cranford, NJ. The record was last updated on Jul 8, 2007.