Individual
TIMOTHY F. O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
515 FAIRMOUNT AVE STE 500, TOWSON, MD 21286-5466
(410) 494-1662
(410) 494-1718
Mailing address
501 FAIRMOUNT AVE STE 103, BALTIMORE, MD 21286-5457
(410) 494-7920
(410) 902-8247
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0000513
MD
Other
Enumeration date
07/11/2006
Last updated
07/21/2022
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