Individual
ROBERT JAMES O'DONNELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
1250 S CEDAR CREST BLVD STE 110, ALLENTOWN, PA 18103
(610) 402-8900
(610) 402-5656
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP018236
PA
363LG0600X
Gerontology Nurse Practitioner
Primary
SP018236
PA
Other
Enumeration date
12/11/2017
Last updated
11/05/2024
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