Individual
DR. PHILIP J O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
81 WOODLANDS DR, STE 202, FALMOUTH, ME 04105-1164
(207) 781-4665
Mailing address
81 WOODLANDS DR, STE 202, FALMOUTH, ME 04105-1164
(207) 781-4665
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
073618
GA
207RG0100X
Gastroenterology Physician
Primary
4394
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002388
ANTHEM
—
01
—
100010915
RAILROAD MEDICARE
—
01
—
1040125
AETNA
—
05
—
277480099
—
ME
Enumeration date
12/01/2005
Last updated
05/06/2015
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