O'Connor, Mark Joseph

O'Connor, Mark Joseph is an individual health care provider with primary practice located at 100 Hospital Rd Ste 3A-B , Leominster MA 01453-2253. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. O'Connor, Mark Joseph can be contacted via phone (978) 534-3179.

Contact Information

Primary practice address
100 Hospital Rd Ste 3A-B Leominster MA 01453-2253
Phone: (978) 534-3179
Fax: (978) 840-3161
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 277574 Massachusetts

Profile Details

NPI number 1215297270
LBN Legal business name O'Connor, Mark Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2012
Last updated May 14th, 2019 - about 5 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 1215297270 NPPES
Massachusetts MEDICAID 110103978A

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