Healthcare Provider Details

I. General information

NPI: 1700337847
Provider Name (Legal Business Name): ANNA O'CONNOR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2016
Last Update Date: 11/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 OXFORD DR STE 210
MONROEVILLE PA
15146-2355
US

IV. Provider business mailing address

600 OXFORD DR STE 210
MONROEVILLE PA
15146-2355
US

V. Phone/Fax

Practice location:
  • Phone: 412-647-6700
  • Fax:
Mailing address:
  • Phone: 412-647-6700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberMT210232
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberMD465994
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: