Organization
GERARD S. O'CONNOR,M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARD STEPHEN O'CONNOR M.D. (SOLE PROPRIETOR)
(410) 778-6303
Entity
Organization
Contact information
Practice address
100 BROWN ST, CHESTERTOWN, MD 21620-1435
(410) 778-6303
(410) 778-6306
Mailing address
100 BROWN ST STE 214, CHESTERTOWN, MD 21620-1435
(410) 778-6303
(410) 778-6306
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0030368
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39849601
CAREFIRST RENDERING ID
MD
01
—
507L
MEDICARE LEGACY
MD
01
—
W2510001
CAREFIRST RENDERING ID
DC
Enumeration date
10/18/2007
Last updated
06/28/2019
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