Individual
MARTIN J O HARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1715 N GEORGE MASON DRIVE, SUITE 107, ARLINGTON, VA 22205
(703) 527-1400
(703) 525-0043
Mailing address
611 S CARLIN SPRINGS RD, STE 409, ARLINGTON, VA 22204-1087
(703) 527-1400
(703) 525-0043
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101049608
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2630085
ECFMG
—
05
—
5878209
—
VA
Enumeration date
07/25/2006
Last updated
02/15/2017
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