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General NPI Number Information
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NPI Number | 1942319157
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Entity Type | Individual
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Provider Name | MARGARET M O'NEILL MD
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 970 FARMINGTON AVE STE 201
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City | WEST HARTFORD
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State | CT
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Zip | 06107-2134
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Country | US
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Telephone | 860-561-4300
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Fax | 860-561-1635
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Provider Business Mailing Address
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Address Line | 970 FARMINGTON AVE STE 201
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City | WEST HARTFORD
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State | CT
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Zip | 06107-2134
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Country | US
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Telephone | 860-561-4300
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Fax | 860-561-1635
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | 035312
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License Number State | CT
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