Individual
MS. JILLIAN KATE O'HARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1600 HADDON AVE, CAMDEN, NJ 08103-3101
(844) 464-6387
Mailing address
11 CLEARVIEW AVE, GLASSBORO, NJ 08028-1303
(609) 517-8548
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00456700
NJ
363A00000X
Physician Assistant
MA059545
PA
Other
Enumeration date
12/14/2017
Last updated
03/17/2018
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