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NPI Code Detail

MEDICARE: CAROLYN J O'CONNOR MD

MEDICARE: CAROLYN J O'CONNOR MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician041131CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851328413
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLYN J O'CONNOR MD
Provider Business Mailing Address
First Line : 385 MAIN ST S
Second Line : SUITE106
City : SOUTHBURY
State : CT
Zip : 06488-4240
Country : US
Telephone Number : 203-262-4600
Fax Number :
Provider Business Practice Location Address
First Line : 385 MAIN ST S
Second Line : SUITE 106
City : SOUTHBURY
State : CT
Zip : 06488-4240
Country : US
Telephone Number : 203-262-4600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2006
Last Update Date : 10/28/2021

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