Individual
PATRICK J. O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
55 LAKE AVE N, DEPARTMENT OF PATHOLOGY, WORCESTER, MA 01655-0002
(508) 793-6100
(508) 793-6110
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
239497
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110088941A
—
MA
Enumeration date
05/11/2007
Last updated
11/25/2020
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