Individual
JOHN M O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8014
(781) 744-5441
Mailing address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8014
(781) 744-5441
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
49035
MA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
49035
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110064145A
—
MA
Enumeration date
09/24/2006
Last updated
01/22/2019
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