Individual
CLAIRE ELIZABETH O'CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2945
(443) 444-8000
Mailing address
3500 SANGUINE DR, NEW WINDSOR, MD 21776-8029
(443) 605-7392
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0008096
MD
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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