O'Connor, Brian Kevin

O'Connor, Brian Kevin is an individual health care provider with primary practice located at 375 Mount Pleasant Ave , West Orange NJ 07052-2724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. O'Connor, Brian Kevin can be contacted via phone (973) 731-9442.

Contact Information

Primary practice address
375 Mount Pleasant Ave West Orange NJ 07052-2724
Phone: (973) 731-9442
Fax: (973) 731-2918
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 25MA07011500 New Jersey

Profile Details

NPI number 1275647216
LBN Legal business name O'Connor, Brian Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Apr 30th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275647216 NPPES
New Jersey MEDICAID 6617000

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