Provider Demographics
NPI:1053470286
Name:O'NEIL, GEORGE D (ATC)
Entity type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:D
Last Name:O'NEIL
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2011 LEEDOMS DR
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-9420
Mailing Address - Country:US
Mailing Address - Phone:215-369-0502
Mailing Address - Fax:609-258-7045
Practice Address - Street 1:PO BOX 71
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08542-0071
Practice Address - Country:US
Practice Address - Phone:609-258-3527
Practice Address - Fax:609-258-7045
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2025-08-20
Deactivation Date:2007-07-17
Deactivation Code:
Reactivation Date:2025-08-20
Provider Licenses
StateLicense IDTaxonomies
NJ25MT000305002255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer