Provider Demographics
NPI:1336935113
Name:O'DONNELL, MARTIN MAURICE (MB, BCH, BAO)
Entity type:Individual
Prefix:MR
First Name:MARTIN
Middle Name:MAURICE
Last Name:O'DONNELL
Suffix:
Gender:
Credentials:MB, BCH, BAO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:JOHNS HOPKINS HOSPITAL
Mailing Address - Street 2:600 N. WOLFE STREET, PATHOLOGY 509
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287-0001
Mailing Address - Country:US
Mailing Address - Phone:410-614-1522
Mailing Address - Fax:410-502-6736
Practice Address - Street 1:JOHNS HOPKINS HOSPITAL
Practice Address - Street 2:600 N. WOLFE STREET, PATHOLOGY 509
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0001
Practice Address - Country:US
Practice Address - Phone:410-614-1522
Practice Address - Fax:410-502-6736
Is Sole Proprietor?:No
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program