Individual
TANYA O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
175 MARTIN AVE, SUITE 125, EPHRATA, PA 17522-1761
(717) 721-5700
(717) 715-1296
Mailing address
175 MARTIN AVENUE, SUITE 125, EPHRATA, PA 17522-9550
(717) 721-5700
(717) 715-1296
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
05009575L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127983
THREE RIVERS
PA
01
—
1513422
GATEWAY
PA
01
—
160048492
RRMCR
PA
05
—
16736950008
—
PA
01
—
500551204
CAPITAL BLUE SHIELD
PA
01
—
5113495
USH/HMO
PA
01
—
76342
BLUE SHIELD
PA
Enumeration date
09/01/2006
Last updated
02/28/2025
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