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MICHAEL WILLIAM O'HARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
780 NJ ROUTE 37 WEST, SUITE 330, TOMS RIVER, NJ 08755-0772
(732) 780-2355
(833) 661-9952
Mailing address
71 MONTROSE RD, COLTS NECK, NJ 07722-1641
(732) 546-8113
(833) 661-9952

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25MB06250000
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
25MB06250000
NJ
208VP0014X
Interventional Pain Medicine Physician
Primary
25MB06250000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
528019SL4
MEDICARE INDIVIDUAL PROVIDER NUMBER
NJ
Enumeration date
01/17/2006
Last updated
03/25/2019
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