| Doctor Name: | DR. MARY JANE O'NEILL |
| NPI Number: | 1043291875 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 154176 |
| Business Practice Address: | 85 Herrick St C/o Sharon Hayes, Radiology Dept Beverly, MA - 019151790 |
| Business Phone Number: | 9789223000 |
| Business Fax Number: | 9789217011 |
| Mailing Address: | 2527 Cranberry Highway, Attn: Nanci Kardos-carll/provider Relations Dept. WAREHAM |
| State: | MA |
| Postal Code: | 025711046 |
| Phone Number: | 8008415200 |
| Fax Number: | 5082731241 |
| NPI Enumeration Date: | 11/09/2005 |
| NPI Last Update Date: | 08/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0204X |
| License Number: | 154176 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Vascular & Interventional Radiology |
| Taxonomy Definition: | A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |