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General NPI Number Information
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NPI Number | 1407933575
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Entity Type | Individual
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Provider Name | JOHN JOSEPH O CONNOR MD
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 03/19/2008
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Provider Practice Location Address
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Address Line | 11125 ROCKVILLE PIKE STE. 308
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City | ROCKVILLE
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State | MD
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Zip | 20852-3142
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Country | US
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Telephone | 301-881-5167
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Fax | 301-816-9576
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Provider Business Mailing Address
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Address Line | PO BOX 341589
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City | WEST BETHESDA
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State | MD
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Zip | 20827-1589
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Country | US
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Telephone | 301-881-5167
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Fax | 301-816-9576
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | D09499
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License Number State | MD
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