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Individual

MICHAEL J ODONOGHUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11110 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742-6700
(301) 665-4901
(301) 665-4941
Mailing address
11110 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742-6700
(301) 665-4901
(301) 665-4941

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
D59367
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
60181101
BLUE SHIELD
MD
01
R5110006
GHI
DC
Enumeration date
11/01/2006
Last updated
07/08/2007
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