Individual
JOHN PAUL O'HARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 941-7000
Mailing address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 941-7000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
266776
MA
207R00000X
Internal Medicine Physician
253015
MA
Other
Enumeration date
07/08/2012
Last updated
11/02/2021
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