Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | OS019655 | PA |
N | 111NI0900X | Internist | OS019655 | PA |
Y | 207RG0300X | Geriatric Medicine | OS019655 | PA |
NPI | 1093100356 |
---|---|
Provider Name | Alison Jean O'donnell |
First Address | Cranberry Township, PA 16066-6133 |
Second Address | Cranberry Township, PA 16066-6133 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2015 |
Last Update Date | 08/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
103251740 | (05) | PA |