Basic Information
| Provider Information | |||||||||
| NPI: | 1033487582 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | LITTLETON HOSPITAL ASSOCIATION | ||||||||
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| OtherOrganizationName: | DR DANIEL O'NEILL | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 32 | ||||||||
| Address2: | PROCLAIM, INC. | ||||||||
| City: | ANDOVER | ||||||||
| State: | NH | ||||||||
| PostalCode: | 032160032 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6037356060 | ||||||||
| FaxNumber: | 6037356070 | ||||||||
| Practice Location | |||||||||
| Address1: | 12 YEATON RD | ||||||||
| Address2: | DR. DANIEL O'NEILL | ||||||||
| City: | PLYMOUTH | ||||||||
| State: | NH | ||||||||
| PostalCode: | 032643457 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6035362270 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/12/2011 | ||||||||
| LastUpdateDate: | 09/02/2014 | ||||||||
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| AuthorizedOfficialLastName: | BRACCINO | ||||||||
| AuthorizedOfficialFirstName: | NICHOLAS | ||||||||
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| AuthorizedOfficialTitleorPosition: | CFO | ||||||||
| AuthorizedOfficialTelephone: | 6034449504 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 02790 | NH | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.