Individual
NEIL PATRICK O'MALLEY
Active
Individual
NEIL PATRICK O'MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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