Individual
TIMOTHY J O'MARA
Active
Individual
TIMOTHY J O'MARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD08795
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005002
BLUE CHIP - HMORI
RI
01
—
0400880
UNITEDHEALTHCARE
RI
01
—
MD08795
STATE OF RI LICENSE
RI
01
—
RI8795
BLUE CROSS LICENSE
RI
05
—
TO21159
—
RI
Enumeration date
06/14/2006
Last updated
07/10/2007
Update your record
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