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Contact Information

MICHAEL C OCONNOR JR, MD
11 NEVINS ST
SUITE 201
BRIGHTON, MA02135
 Phone: 617-779-6382
 Fax: 617-789-2307
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MICHAEL C OCONNOR JR · (Male)

NPI # 1851812218
Status Active
Credentials MD
Entity Individual
Enumeration date 07/06/2017
Last updated 03/13/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 036.160359
  • MA License # 1020222
  • MA Medicaid 110214335A
  • NH Medicaid 3148103
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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