Organization Name: | GERARD S. O'CONNOR,M.D. |
NPI Number: | 1992994693 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GERARD STEPHEN O'CONNOR (SOLE PROPRIETOR) |
Mailing Address: | 100 Brown St Chestertown |
State: | MD US |
Postal Code: | 216201435 |
Phone Number: | 4107786303 |
Fax Number: | 4107786306 |
NPI Enumeration Date: | 10/18/2007 |
NPI Last Update Date: | 02/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | D0030368 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |