Provider Demographics
NPI:1023873460
Name:O'CONNELL, JULIE A (DR)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:A
Last Name:O'CONNELL
Suffix:
Gender:F
Credentials:DR
Other - Prefix:DR
Other - First Name:JULIE
Other - Middle Name:A
Other - Last Name:NORSTRAND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:29 CAROLINE PARK
Mailing Address - Street 2:
Mailing Address - City:WABAN
Mailing Address - State:MA
Mailing Address - Zip Code:02468-1101
Mailing Address - Country:US
Mailing Address - Phone:978-505-2468
Mailing Address - Fax:
Practice Address - Street 1:29 CAROLINE PARK
Practice Address - Street 2:
Practice Address - City:WABAN
Practice Address - State:MA
Practice Address - Zip Code:02468-1101
Practice Address - Country:US
Practice Address - Phone:978-505-2468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-15
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management