Individual
CASEY O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., MBA
Contact information
Practice address
2 POND PARK RD STE 303, HINGHAM, MA 02043-4354
(781) 624-2525
(781) 741-6297
Mailing address
62 13TH ST, BOSTON, MA 02129-2056
(617) 952-5299
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
234536
MA
208100000X
Physical Medicine & Rehabilitation Physician
25MB07680200
NJ
208100000X
Physical Medicine & Rehabilitation Physician
OS013626
PA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
DO00614
RI
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
OS11404
FL
208VP0014X
Interventional Pain Medicine Physician
DO00614
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019522600
—
FL
Enumeration date
04/14/2006
Last updated
12/15/2024
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