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Carmel M Odonnell

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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