Provider Demographics
NPI:1295056182
Name:O'DONNELL, SEAN BARTON (MD)
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:BARTON
Last Name:O'DONNELL
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:1800 E PARK AVE
Mailing Address - Street 2:LANCE AND ELLEN SHANER CANCER PAVILION
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16803-6709
Mailing Address - Country:US
Mailing Address - Phone:814-231-7800
Mailing Address - Fax:814-231-7295
Practice Address - Street 1:1800 E PARK AVE
Practice Address - Street 2:LANCE AND ELLEN SHANER CANCER PAVILION
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16803-6709
Practice Address - Country:US
Practice Address - Phone:814-231-7800
Practice Address - Fax:814-231-7295
Is Sole Proprietor?:No
Enumeration Date:2010-06-15
Last Update Date:2020-09-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD450086207RH0003X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology