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Organization
SUSQUEHANNA ORTHOPAEDICS ASSOCIATES JOHN P OHEARN MD LLC
Active
Organization
SUSQUEHANNA ORTHOPAEDICS ASSOCIATES JOHN P OHEARN MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PATRICK O'HEARN MD (OWNER)
(410) 879-9636
Entity
Organization
Contact information
Practice address
2 COLGATE DR, SUITE 204, FOREST HILL, MD 21050-2624
(410) 879-9636
(410) 879-0376
Mailing address
2 COLGATE DR, SUITE 204, FOREST HILL, MD 21050-2624
(410) 879-9636
(410) 879-0376
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
277L
MEDICARE
MD
01
—
961531800
MEDICAL ASSISTANCE
MD
01
—
DC3950
RAILROAD MEDICARE
GA
01
—
E470-0001
CAREFIRST
DC
Enumeration date
02/15/2008
Last updated
07/01/2013
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