Provider Demographics
NPI:1285602680
Name:O'CONOR, GREGORY THOMAS JR (MD)
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:THOMAS
Last Name:O'CONOR
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2106 HARRISBURG PIKE
Mailing Address - Street 2:SUITE 116
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-2644
Mailing Address - Country:US
Mailing Address - Phone:717-544-3600
Mailing Address - Fax:717-544-3604
Practice Address - Street 1:2106 HARRISBURG PIKE
Practice Address - Street 2:SUITE 116
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-2644
Practice Address - Country:US
Practice Address - Phone:717-544-3600
Practice Address - Fax:717-544-3604
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD022623E207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA4376018OtherAETNA NON-HMO
PA067752OtherHIGHMARK BLUE SHIELD
PAB34801OtherHEALTH ASSURANCE
PA01492302OtherCAPITAL BLUE CROSS
PA1518640OtherGATEWAY HEALTH PLAN
PA29892 4336OtherGEISINGER HEALTH PLAN
PA532391OtherAETNA HMO
PA0009655880002Medicaid
PA29892 4336OtherGEISINGER HEALTH PLAN
PAB34801Medicare UPIN