Carmel M Odonnell

 

NPI Number Detailed Information

Provider Information:

Name:	Carmel M Odonnell
Gender:	F
Provider License Number If Given:	25MB08097600

NPI Information:

NPI:	1497754097
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	7/18/2005
Last Update Date:	2/6/2013

Provider Business Mailing Address:

Address:	410 N BROADWAY SUITE 1 Pitman, NJ 08071
Phone Number:	8565893708
Fax Number:	8565892662

Provider Business Practice Location Address:

Address:	410 N BROADWAY SUITE 1 Pitman, NJ 08071
Phone Number:	8565893708
Fax Number:	8565892662

Provider Taxonomy:

Primary:	207R00000X
Secondary (if any):
State:	NJ