Individual
DR. CONOR MICHAEL DEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, DIVISION OF OTOLARYNGOLOGY, PHILADELPHIA, PA 19104
(215) 590-1582
Mailing address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-3440
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
MD464365
PA
207YP0228X
Pediatric Otolaryngology Physician
MT212920
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2012
Last updated
01/15/2019
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