Individual
DR. MARK O'HARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 360-0735
Mailing address
3400 SPRUCE ST, PCAM 7 SOUTH, PHILADELPHIA, PA 19104-4238
(585) 749-8426
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD444150
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT193503
PA
Other
Enumeration date
07/03/2008
Last updated
11/17/2022
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