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General NPI Number Information
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NPI Number | 1407825433
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Entity Type | Individual
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Provider Name | PAUL L ODONNELL DO
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Gender | Male
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 223 N MAIN ST STE 103
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City | CAPE MAY COURT HOUSE
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State | NJ
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Zip | 08210-2182
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Country | US
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Telephone | 609-463-1488
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Fax |
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Provider Business Mailing Address
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Address Line | 1 FEDERAL ST STE 200
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City | CAMDEN
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State | NJ
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Zip | 08103-1088
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Country | US
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Telephone | 848-288-6935
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Fax | 732-790-0107
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | OS010515L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 25MB083768000
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License Number State | NJ
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