Individual
DR. PETER B. O'DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
60 FOREST FALLS DR, YARMOUTH, ME 04096-6971
(207) 846-2229
(207) 846-5119
Mailing address
60 FOREST FALLS DR, YARMOUTH, ME 04096-6971
(207) 846-2229
(207) 846-5119
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
913501
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007585
BLUE CROSS
ME
01
—
2116601
AETNA
ME
01
—
M61431C
CIGNA
ME
Enumeration date
06/16/2006
Last updated
10/06/2011
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