Individual
SUSAN E O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
33 WHITING HILL RD, SUITE 33, BREWER, ME 04412-1021
(207) 973-9720
(207) 973-9710
Mailing address
33 WHITING HILL RD, SUITE 33, BREWER, ME 04412-1021
(207) 973-9720
(207) 973-9710
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
013812
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
296670099
—
ME
Enumeration date
04/26/2006
Last updated
01/29/2014
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