Individual
DR. BRIAN O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1562 OPOSSUMTOWN PIKE, FREDERICK, MD 21702-4337
(301) 662-8477
Mailing address
PO BOX 37086, BALTIMORE, MD 21297-3086
(240) 439-8733
(240) 439-8910
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
D0031761
MD
207RX0202X
Medical Oncology Physician
Primary
D31761
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28658979
AETNA PVN
—
01
—
523014-01
CAREFIRST BCBS MARYLAND
—
05
—
81961100
—
MD
01
—
971641
UNITED
—
01
—
W575-0002
CAREFIRST BCBS GHMSI
—
Enumeration date
08/17/2005
Last updated
05/15/2019
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