Individual
DR. JAMES R O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 CIVIC CENTER BLVD., WEST PAVILION, 3RD FLOOR, PHILADELPHIA, PA 19104-5127
(215) 662-2891
(215) 662-6734
Mailing address
3400 CIVIC CENTER BLVD., WEST PAVILION, 3RD FLOOR, PHILADELPHIA, PA 19104-5127
(215) 662-2891
(215) 662-6734
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
252428-1
NY
208800000X
Urology Physician
Primary
MD008797E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000641614
—
PA
Enumeration date
11/20/2006
Last updated
10/03/2012
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