Individual
OWEN J HALLORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2215 BURDETT AVE, TROY, NY 12180-2475
(518) 525-8600
Mailing address
1450 WESTERN AVE STE 102, ANESTHESIA GROUP OF ALBANY, PC, ALBANY, NY 12203-3539
(518) 463-0050
(518) 207-2973
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
270594
NY
207L00000X
Anesthesiology Physician
D68596
MD
207L00000X
Anesthesiology Physician
MT188744
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022530400
—
MD
Enumeration date
12/14/2006
Last updated
03/16/2023
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