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NPI Code Detail

MEDICARE: DR. MEGHAN PRATTS O'CONNOR M.D.

MEDICARE: DR. MEGHAN PRATTS O'CONNOR 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
1207V00000XObstetrics & Gynecology Physician296010NY
2207V00000XObstetrics & Gynecology PhysicianD0078926MD
32084P0804XChild & Adolescent Psychiatry Physician296010NY

General Provider Information

NPI Number : 1164711370
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MEGHAN PRATTS O'CONNOR M.D.
Provider Business Mailing Address
First Line : 6201 GREENLEIGH AVE
Second Line :
City : MIDDLE RIVER
State : MD
Zip : 21220-2004
Country : US
Telephone Number : 585-341-0101
Fax Number :
Provider Business Practice Location Address
First Line : 10710 CHARTER DR STE 200
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-3259
Country : US
Telephone Number : 410-884-8194
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2011
Last Update Date : 05/03/2024

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