Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VG0400X | Gynecologist | D0064759 | MD |
Y | 207VX0201X | Gynecologic Oncologist | D64759 | MD |
NPI | 1003839267 |
---|---|
Provider Name | Christine E. O Connor |
First Address | Baltimore, MD 21264-4075 |
Second Address | Baltimore, MD 21202-2001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 15/07/2009 |