Individual
JOHN OMEARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1241 ADAMS ST APT 310, DORCHESTER, MA 02124-5767
(781) 277-1747
Mailing address
1241 ADAMS ST APT 310, DORCHESTER, MA 02124-5767
(781) 277-1747
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
2301870
MA
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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