O'Neill, Mary Jane

O'Neill, Mary Jane is an individual health care provider with primary practice located at 85 Herrick St C/O Sharon Hayes, Radiology Dept, Beverly MA 01915-1790. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. O'Neill, Mary Jane can be contacted via phone (978) 922-3000.

Contact Information

Primary practice address
85 Herrick St C/O Sharon Hayes, Radiology Dept Beverly MA 01915-1790
Phone: (978) 922-3000
Fax: (978) 921-7011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 154176 Massachusetts
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 154176 Massachusetts

Profile Details

NPI number 1043291875
LBN Legal business name O'Neill, Mary Jane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Aug 7th, 2012 - about 13 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 1043291875 NPPES
Massachusetts Other 154176 TUFTS HEALTH PLAN
Massachusetts Other J17687 TUFTS HEALTH PLAN
Massachusetts MEDICAID 3166678 TUFTS HEALTH PLAN

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