Provider Demographics
NPI:1508854746
Name:ONEAL, MARY ANGELA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:ANGELA
Last Name:ONEAL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:45 FRANCIS ST
Mailing Address - Street 2:BRIGHAM AND WOMEN'S HOSPITAL
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115
Mailing Address - Country:US
Mailing Address - Phone:617-732-7432
Mailing Address - Fax:617-732-6083
Practice Address - Street 1:45 FRANCIS ST
Practice Address - Street 2:BRIGHAM AND WOMEN'S HOSPITAL
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-732-7432
Practice Address - Fax:617-732-6083
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2012-05-11
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Provider Licenses
StateLicense IDTaxonomies
MA563142084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3046486Medicare ID - Type Unspecified
E03213Medicare UPIN
MAJ08217Medicare ID - Type Unspecified
MAJ0821701Medicare PIN