O'Connor, Brian

O'Connor, Brian is an individual health care provider with primary practice located at 1562 Opossumtown Pike , Frederick MD 21702-4337. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. O'Connor, Brian can be contacted via phone (301) 662-8477.

Contact Information

Primary practice address
1562 Opossumtown Pike Frederick MD 21702-4337
Phone: (301) 662-8477
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X D0031761 Maryland
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X D31761 Maryland

Profile Details

NPI number 1174515050
LBN Legal business name O'Connor, Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated May 15th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174515050 NPPES
Other 28658979 AETNA PVN
Other W575-0002 AETNA PVN
Other 523014-01 AETNA PVN
MEDICAID 81961100 AETNA PVN
Other 971641 AETNA PVN

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