Individual
DENIS JOHN OFALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 RESEARCH BLVD, 350, ROCKVILLE, MD 20850-3164
(301) 838-9606
(301) 838-9029
Mailing address
12123 MERRICKS CT, MONROVIA, MD 21770-9446
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D39868
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066751000
—
MD
01
—
601285800
FECA
—
Enumeration date
05/26/2006
Last updated
03/09/2010
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