Individual
CHARLES R. ODONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
610 W GERMANTOWN PIKE STE 150, PLYMOUTH MEETING, PA 19462-1062
(484) 565-1000
Mailing address
PO BOX 828962, PHILADELPHIA, PA 19182-8962
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN643145
PA
Other
Enumeration date
11/12/2018
Last updated
10/24/2023
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