John Crossan Odonovan
MD | Pediatrics | Male
John Crossan Odonovan, MD is a Baltimore, Maryland based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of John Crossan Odonovan is
2112 Dundalk Ave, Baltimore, Maryland - 21222-3714. He can be contacted on phone at
410-284-1133 and fax number 410-284-8371.
John Crossan Odonovan is a sole proprietor of his business.
NPI number (Unique professional ID) for John Crossan Odonovan is
1700859295 which was assigned by NPPES on 07 Feb, 2006 and it was last updated on 07 Apr, 2011.
John Crossan Odonovan license number is
D07632 for Pediatrics (208000000X) in Maryland.
John Crossan Odonovan is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
John Crossan Odonovan basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | John Crossan Odonovan |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
John Crossan Odonovan address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2112 Dundalk Ave
Baltimore, MD, 21222-3714
United States |
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| Phone Number : | 410-284-1133 |
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| Fax Number : | 410-284-8371 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1700859295 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 07 Feb, 2006 |
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| Last Updated On : | 07 Apr, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for John Crossan Odonovan are as mentioned. Primary taxonomy code for John Crossan Odonovan, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | D07632 | MD |
Legacy Identifiers:
Other legacy medical identifiers of John Crossan Odonovan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 022731500 | MEDICAID | MD | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2112 Dundalk Ave
Baltimore, MD, 21222
United States |
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| Phone Number : | 410-284-1133 |
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| Fax Number : | 410-284-8371 |
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Business Location:
Patients can refer following map for directions to
John Crossan Odonovan practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.