Provider Demographics
NPI:1942319157
Name:O'NEILL, MARGARET M (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:M
Last Name:O'NEILL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:970 FARMINGTON AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06107-2134
Mailing Address - Country:US
Mailing Address - Phone:860-561-4300
Mailing Address - Fax:860-561-1635
Practice Address - Street 1:970 FARMINGTON AVE STE 201
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06107-2134
Practice Address - Country:US
Practice Address - Phone:860-561-4300
Practice Address - Fax:860-561-1635
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0353122080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT2883835OtherAETNA
CT9046149OtherCIGNA
CT010035312CT02OtherANTHEM BLUE CROSS BLUE SH
CT035312OtherCONNECTICARE
CTP2089091OtherOXFORD
CT00135312700Medicaid
CT2V2626OtherHEALTHNET