O'Connor, Michael Kevin

O'Connor, Michael Kevin is an individual health care provider with primary practice located at 183 South Orange Avenue Suite E1559, Newark NJ 07107-3000. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. O'Connor, Michael Kevin can be contacted via phone (973) 972-2977.

Contact Information

Primary practice address
183 South Orange Avenue Suite E1559 Newark NJ 07107-3000
Phone: (973) 972-2977
Fax: (973) 972-2979
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA07734100 New Jersey
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 25MA07734100 New Jersey
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 25MA07734100 New Jersey

Profile Details

NPI number 1033257431
LBN Legal business name O'Connor, Michael Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Jun 10th, 2024 - about 6 months 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 1033257431 NPPES
New Jersey MEDICAID 0050199

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