O'Connor, Carolyn J

O'Connor, Carolyn J is an individual health care provider with primary practice located at 385 Main St S Suite 106, Southbury CT 06488-4240. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. O'Connor, Carolyn J can be contacted via phone (203) 262-4600.

Contact Information

Primary practice address
385 Main St S Suite 106 Southbury CT 06488-4240
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 041131 Connecticut

Profile Details

NPI number 1851328413
LBN Legal business name O'Connor, Carolyn J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Oct 28th, 2021 - about 3 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 1851328413 NPPES
Connecticut MEDICAID 001411313

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