Doctor Name: | DR. JAMES PAUL O'NEILL |
NPI Number: | 1699849869 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 25MA05201600 |
Business Practice Address: | 1540 State Route 138 Suite 307 Wall, NJ - 077193763 |
Business Phone Number: | 7322807555 |
Business Fax Number: | |
Mailing Address: | 1540 State Route 138, Suite 307 WALL |
State: | NJ |
Postal Code: | 077193763 |
Phone Number: | 7322807555 |
Fax Number: | |
NPI Enumeration Date: | 11/20/2006 |
NPI Last Update Date: | 07/16/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | 25MA05201600 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |