Provider Demographics
NPI:1386648053
Name:ODWYER, ANDREW JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:JOSEPH
Last Name:ODWYER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2016 MEADE PKWY
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-4259
Mailing Address - Country:US
Mailing Address - Phone:757-539-1533
Mailing Address - Fax:757-539-6591
Practice Address - Street 1:2016 MEADE PKWY
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-4259
Practice Address - Country:US
Practice Address - Phone:757-539-1533
Practice Address - Fax:757-539-6591
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2008-02-04
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Provider Licenses
StateLicense IDTaxonomies
VA0101021632207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology