Individual
DAVID M O'NEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17 FONTANA LN, SUITE 201, BALTIMORE, MD 21237-3042
(410) 391-1000
(410) 391-0943
Mailing address
17 FONTANA LN, SUITE 201, BALTIMORE, MD 21237-3042
(410) 391-1000
(410) 391-0943
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
D0022619
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
771421100
MEDICAL ASSISTANCE
MD
Enumeration date
06/14/2006
Last updated
07/25/2017
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