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Individual

DR. CAROLYN FAWN O'CONNOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
500 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1929
(757) 594-2160
Mailing address
PO BOX 35442, RICHMOND, VA 23235-0442

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101055533
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89066E5
NC
Enumeration date
10/10/2005
Last updated
11/12/2007
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