Evan D. O'Brien, M.d., P.c
Physician Assistant, Surgical in West Deptford, New Jersey
1619126539- Practice location
- 1225 N Broad St, Suite 3, West Deptford, NJ 08096-1203
- Phone
- 856-845-0707
- Fax
- 856-845-0082
- Last updated
- June 11, 2009
Evan D. O'Brien, M.d., P.c is a healthcare organization based in West Deptford, NJ. Evan D. O'Brien, M.d., P.c practices in West Deptford, NJ. The NPI Number for Evan D. O'Brien, M.d., P.c is 1619126539 and holds a License No. MA63525 (NJ). The current practice location address for Evan D. O'Brien, M.d., P.c is 1225 N Broad St, Suite 3, West Deptford, NJ 08096-1203 and can be reached out via phone at 856-845-0707 and via fax at 856-845-0082.
Provider Profile Details
- NPI Number
- 1619126539
- Provider Name
- Evan D. O'Brien, M.d., P.c
- Provider Entity Type
- Organization
- Address
- 1225 N Broad St, Suite 3, West Deptford, NJ 08096-1203
- Phone Number
- 856-845-0707
- Fax Number
- 856-845-0082
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Organization Subpart
- No
- Authorized Official
- Ms. Kimberly Owens · Billing Manager · 856-845-0707
- Provider Enumeration Date
- September 16, 2008
- Last Update Date
- June 11, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1225 N Broad St
Suite 3
West Deptford, NJ 08096-1203 - City
- West Deptford
- State
- New Jersey
- Zip
- 08096-1203
- Phone Number
- 856-845-0707
- Fax Number
- 856-845-0082
Provider Business Mailing Address Details
- Address
- 1225 N Broad St
Suite 3
West Deptford, NJ 08096-1203 - City
- West Deptford
- State
- NJ
- Zip
- 08096-1203
- Phone Number
- 856-845-0707
License Information
- License Number (1)
- MA63525
- License State (1)
- NJ
- Taxonomy (1)
- Orthopaedic Surgery, Orthopaedic Surgery of the Spine · 207XS0117X
- License Number (2)
- 25MA07777400
- License State (2)
- NJ
- Taxonomy (2)
- Physical Medicine & Rehabilitation, Pain Medicine · 2081P2900X
- License Number (3)
- 25MP00100300
- License State (3)
- NJ
- Taxonomy (3)
- Physician Assistant, Surgical · 363AS0400X
- License Number (4)
- 26NJ00027700
- License State (4)
- NJ
- Taxonomy (4)
- Nurse Practitioner, Family · 363LF0000X
- License Number (5)
- 25MP00021200
- License State (5)
- NJ
- Taxonomy (5)
- Physician Assistant, Surgical · 363AS0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Evan D. O'Brien, M.d., P.c?
The NPI number of Evan D. O'Brien, M.d., P.c is 1619126539. It was assigned on September 16, 2008 and is currently active in the NPPES registry.
What is the specialty of Evan D. O'Brien, M.d., P.c?
Evan D. O'Brien, M.d., P.c is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NJ under license number MA63525.
Where does Evan D. O'Brien, M.d., P.c practice?
The practice location is 1225 N Broad St, Suite 3, West Deptford, NJ 08096-1203. The office can be reached at 856-845-0707 (phone) or 856-845-0082 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619126539 directly on the NPPES registry website.