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Individual
DR. PETER B. O'DONNELL
Active
Individual
DR. PETER B. O'DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
913501
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007585
BLUE CROSS
ME
01
—
2116601
AETNA
ME
01
—
M61431C
CIGNA
ME
Enumeration date
06/16/2006
Last updated
10/06/2011
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