Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 56708 | MA |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 7012 | RI |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 56708 | MA |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 7012 | RI |
NPI | 1780759381 |
---|---|
Provider Name | Dr. William Edward Oconnor JR. |
First Address | Fall River, MA 02720-5923 |
Second Address | Fall River, MA 02720-5929 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2006 |
Last Update Date | 28/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C57143 | (02) |