Individual
DR. JEROME THOMAS O'CONNELL JR.
Active
Individual
DR. JEROME THOMAS O'CONNELL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
A63118
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
D0058140
MD
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD32177
DC
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
0101231713
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861516718
—
VA
Enumeration date
03/18/2007
Last updated
08/01/2023
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