Individual
GINA O'HARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 HAWKINS POINT RD, BALTIMORE, MD 21226-1797
(410) 636-7506
Mailing address
1714 TARLETON WAY, CROFTON, MD 21114-2504
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
OA003754
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/21/2015
Last updated
03/17/2018
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