Provider Demographics
NPI:1013235936
Name:CONNOR, COLLEEN M (MD)
Entity type:Individual
Prefix:
First Name:COLLEEN
Middle Name:M
Last Name:CONNOR
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:828 HEALTHY WAY
Mailing Address - Street 2:SUITE 330
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-7958
Mailing Address - Country:US
Mailing Address - Phone:757-461-3890
Mailing Address - Fax:757-467-0301
Practice Address - Street 1:828 HEALTHY WAY
Practice Address - Street 2:SUITE 330
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-7958
Practice Address - Country:US
Practice Address - Phone:757-461-3890
Practice Address - Fax:757-467-0301
Is Sole Proprietor?:No
Enumeration Date:2010-05-17
Last Update Date:2014-06-19
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Provider Licenses
StateLicense IDTaxonomies
VA0101255914207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0101255914OtherLICENSE