Provider Demographics
NPI:1780759381
Name:OCONNOR, WILLIAM EDWARD JR (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:EDWARD
Last Name:OCONNOR
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1030 PRESIDENT AVE
Mailing Address - Street 2:SUITE 124
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-5923
Mailing Address - Country:US
Mailing Address - Phone:508-678-4244
Mailing Address - Fax:508-235-6665
Practice Address - Street 1:1030 PRESIDENT AVE
Practice Address - Street 2:RM 218
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-5929
Practice Address - Country:US
Practice Address - Phone:508-678-4244
Practice Address - Fax:508-235-6665
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2016-03-28
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Provider Licenses
StateLicense IDTaxonomies
MA56708207Y00000X, 207YX0905X
RI7012207Y00000X, 207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
C57143Medicare UPIN
MAJO5752Medicare PIN