Individual
CARMEL M ODONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
410 N BROADWAY, SUITE 1, PITMAN, NJ 08071-1047
(856) 589-3708
(856) 589-2662
Mailing address
410 N BROADWAY, SUITE 1, PITMAN, NJ 08071-1047
(856) 589-3708
(856) 589-2662
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MB08097600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0190292
—
NJ
Enumeration date
07/18/2005
Last updated
02/06/2013
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