Individual
DR. STEFAN S. O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2055 LIMESTONE RD, SUITE 103, WILMINGTON, DE 19808-5536
(302) 992-0238
Mailing address
1111 DARDEL RD, WILMINGTON, DE 19803-2711
(302) 478-5908
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
C1-0003896
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000415101
DELAWARE PHYSICIANS CARE
DE
05
—
0000415101
—
DE
01
—
0560630000
KEYSTONE/AMERIHEALTH
DE
01
—
4344682
AETNA
DE
01
—
510390465
CIGNA
DE
Enumeration date
02/01/2006
Last updated
08/20/2008
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