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Individual

DR. DANIEL MICHAEL O'CONNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
714B WOLCOTT DR, PHILADELPHIA, PA 19118-4311
(215) 753-1969
Mailing address
714B WOLCOTT DR, PHILADELPHIA, PA 19118-4311
(215) 753-1969

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
25MA08478500
NJ
208D00000X
General Practice Physician
MD.014835
LA
208D00000X
General Practice Physician
Primary
MD435320
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F16075
UPIN
LA
Enumeration date
02/16/2010
Last updated
02/16/2010
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