Provider Demographics
NPI:1780778514
Name:O'CONNOR, JAMES J (DC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:J
Last Name:O'CONNOR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 HARRINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07675-1822
Mailing Address - Country:US
Mailing Address - Phone:201-664-6000
Mailing Address - Fax:201-666-1380
Practice Address - Street 1:30 HARRINGTON AVE
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07675-1822
Practice Address - Country:US
Practice Address - Phone:201-664-6000
Practice Address - Fax:201-666-1380
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00583000111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0070228RTEMedicare ID - Type Unspecified