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NPI Code Detail

MEDICARE: DELANEY O'CONNOR MS, ATC

MEDICARE:   DELANEY  O'CONNOR  MS, ATC
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
12255A2300XAthletic TrainerMD

General Provider Information

NPI Number : 1326971839
Entity Type Code : Individual
Provider Name (Legal Business Name) : DELANEY O'CONNOR MS, ATC
Provider Business Mailing Address
First Line : 236 RODGERS FORGE RD APT C
Second Line :
City : BALTIMORE
State : MD
Zip : 21212-1339
Country : US
Telephone Number : 252-367-9180
Fax Number :
Provider Business Practice Location Address
First Line : 822 W LAKE AVE
Second Line :
City : BALTIMORE
State : MD
Zip : 21210-1298
Country : US
Telephone Number : 252-367-9180
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2026
Last Update Date : 06/04/2026

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Directions to “ DELANEY O'CONNOR MS, ATC” Practice Location

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