Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEROME THOMAS O'CONNELL JR., M.D.
Active Sole ProprietorDR. JEROME THOMAS O'CONNELL JR., M.D. is a Clinical Pathology/Laboratory Medicine healthcare provider located in WOODBRIDGE, Virginia. NPI 1861516718 is currently active in the NPPES registry. Verify at CMS.
Clinical Pathology/Laboratory Medicine · WOODBRIDGE, VA
Registration Details
- NPI Number
- 1861516718
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 18, 2007 (19.441665659809 yrs)
- Last Updated
- Aug 1, 2023
- Licenses
-
MD32177 (DC)A63118 (CA)D0058140 (MD)0101231713 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2300 OPITZ BLVDWOODBRIDGE, VA, 22191Browse VA providers · Browse ZIP 22191
- Phone
- 7036701835
- Fax
- 7036700827
- Primary Specialty
-
Clinical Pathology/Laboratory Medicine
207ZP0105X
- Additional Specialty
- Anatomic Pathology & Clinical Pathology
- Additional Specialty
- Anatomic Pathology & Clinical Pathology
- Additional Specialty
- Clinical Pathology/Laboratory Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.