O'Donnell, John M

O'Donnell, John M is an individual health care provider with primary practice located at 41 Mall Rd , Burlington MA 01805-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. O'Donnell, John M can be contacted via phone (781) 744-8014.

Contact Information

Primary practice address
41 Mall Rd Burlington MA 01805-0001
Fax: (781) 744-5441
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 49035 Massachusetts
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 49035 Massachusetts

Profile Details

NPI number 1982704490
LBN Legal business name O'Donnell, John M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2006
Last updated Jan 22nd, 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 1982704490 NPPES
Massachusetts MEDICAID 110064145A

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