Individual
ELISE O'CONNELL
Active
Individual
ELISE O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
0101262544
VA
207RI0200X
Infectious Disease Physician
Primary
D73767
MD
390200000X
Student in an Organized Health Care Education/Training Program
11015052A
IN
Other
Enumeration date
06/21/2009
Last updated
06/16/2021
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