Individual
MICHAEL O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 WASHINGTON ST, NEWTON, MA 02462-1650
(617) 969-1227
Mailing address
2000 WASHINGTON ST, NEWTON, MA 02462-1650
(617) 969-1227
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
291965
MA
390200000X
Student in an Organized Health Care Education/Training Program
297811
NY
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
05/19/2016
Last updated
03/06/2024
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