Individual
ABIGAIL M O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
(215) 955-8229
Mailing address
200 4TH AVE, GLENDORA, NJ 08029-1420
(267) 303-9401
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP021643
PA
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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