Provider Demographics
NPI:1053545533
Name:O'CONNOR, SIOBHAN M (MD)
Entity type:Individual
Prefix:
First Name:SIOBHAN
Middle Name:M
Last Name:O'CONNOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:48 N SERENITY HILL CIR UNIT 5
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-0456
Mailing Address - Country:US
Mailing Address - Phone:412-867-8282
Mailing Address - Fax:919-966-6417
Practice Address - Street 1:WOMENS AND CHILDRENS HOSPITALS CLB # 7525
Practice Address - Street 2:101 MANNING DRIVE
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7525
Practice Address - Country:US
Practice Address - Phone:919-843-1068
Practice Address - Fax:919-966-6417
Is Sole Proprietor?:No
Enumeration Date:2009-05-12
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD433060207ZP0102X
NC2010-01066207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYH63936OtherUPIN