Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 0101046842 | VA |
N | 207QS0010X | Family Doctor - Sports Medicine | 0101046842 | VA |
NPI | 1316925340 |
---|---|
Provider Name | Dr. Francis G O'connor |
First Address | Baltimore, MD 21279-1128 |
Second Address | Fairfax, VA 22033-1715 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2006 |
Last Update Date | 17/10/2020 |