Individual
ELLEN M. O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 S 11TH ST, SUITE 6230, PHILADELPHIA, PA 19107-4824
(215) 955-6835
(215) 923-5778
Mailing address
111 S 11TH ST, SUITE 6230, PHILADELPHIA, PA 19107-4824
(215) 955-6835
(215) 923-5778
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD042633E
PA
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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