Individual
DR. BRIAN J. O'HARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
132 S 10TH ST, 285K, PHILADELPHIA, PA 19107-5244
(215) 503-5642
(215) 503-4817
Mailing address
132 S 10TH ST, 285K, PHILADELPHIA, PA 19107-5244
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD-047056-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001417819
—
PA
05
—
6307701
—
NJ
Enumeration date
08/03/2006
Last updated
03/26/2015
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