Individual
TIMOTHY O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
SUITE 32 PEOPLES PLAZA, NEWARK, DE 19702
(302) 834-6800
Mailing address
322 EAST CECIL AVENUE, SUITE 2, NORTH EAST, MD 21901
(410) 287-3727
(410) 287-2819
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
CI0003058
DE
207R00000X
Internal Medicine Physician
D0033510
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000229701
—
DE
Enumeration date
07/19/2006
Last updated
07/08/2007
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