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Individual

NEIL PATRICK O'MALLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
17 WESTERN MARYLAND PKWY, SUITE 100, HAGERSTOWN, MD 21740-5471
(301) 797-9240
(301) 797-4234
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
BO3359189
MD
207T00000X
Neurological Surgery Physician
BO6107735
PA
207T00000X
Neurological Surgery Physician
Primary
D0050813
MD
207T00000X
Neurological Surgery Physician
MD045409L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
140005758
RR MEDICARE
01
149523
PA BLUE SHIELD MD LOC
PA
01
54359603
MD BLUE SHIELD
MD
05
593901100
MD
01
966244
PA BLUE SHIELD PA LOCATIO
PA
01
P00670421
RR MEDICARE
PA
01
W2660002
BLUE SHIELD REGIONAL-MD
MD
Enumeration date
07/17/2006
Last updated
02/12/2025
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