Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VE0102X | Reproductive Endocrinologist | IL | |
Y | 207VE0102X | Reproductive Endocrinologist | D0064448 | MD |
NPI | 1164503058 |
---|---|
Provider Name | Jeanne E O'brien |
First Address | Rockville, MD 20850-6352 |
Second Address | Rockville, MD 20850-6352 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0906-0020 | CAREFIRST BCBS (01) | |
1257626 | AETNA (01) | |
198489 | ANTHEM HEALTHKEEPERS (01) | |
199489 | ANTHEM (01) | |
2147646 | MAMSI (01) | |
2147646 | UNITEDHEALTHCARE (01) | |
260038 | KAISER PERMANENTE (01) | |
4161559 | CIGNA (01) | |
756592 | NCPPO (01) | |
886940-01 | CAREFIRST BCBS (01) | MD |
H34808 | (02) |