Individual
RYAN O'HARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 DORCHESTER AVE, DORCHESTER, MA 02124-5615
(617) 506-4444
Mailing address
2100 DORCHESTER AVE, DORCHESTER, MA 02124-5615
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
278934
MA
207P00000X
Emergency Medicine Physician
35.133038
OH
Other
Enumeration date
05/16/2015
Last updated
06/02/2022
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