Individual
DR. WILLIAM D O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2101 MEDICAL PARK DR, SILVER SPRING, MD 20902-4053
(301) 681-6600
(301) 681-3799
Mailing address
12117 RED ADMIRAL WAY, GERMANTOWN, MD 20876-5939
(301) 916-6160
(301) 916-9522
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D0004530
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003
BLUE CROSS/BLUE SHIELD
—
01
—
180030694
MEDICARE - RAILROAD
—
01
—
255018
UNITED HEALTHCARE - MAMSI
—
Enumeration date
07/12/2006
Last updated
07/08/2007
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