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NPI Code Detail

MEDICARE: DR. JENNIFER OCONNOR M.D.

MEDICARE:  DR. JENNIFER  OCONNOR  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD422356PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790788594
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER OCONNOR M.D.
Provider Business Mailing Address
First Line : PO BOX 1111
Second Line :
City : HARLEYSVILLE
State : PA
Zip : 19438-0907
Country : US
Telephone Number : 215-453-4995
Fax Number : 215-453-4646
Provider Business Practice Location Address
First Line : 700 HORIZON CIR
Second Line : SUITE 103
City : CHALFONT
State : PA
Zip : 18914-3967
Country : US
Telephone Number : 215-822-3130
Fax Number : 215-822-3134
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 12/28/2012

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Directions to “ DR. JENNIFER OCONNOR M.D.” Practice Location

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