Individual
DR. KATHY MARLEEN O'HARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-5800
(215) 823-4272
Mailing address
170 W PARK DR, BRIDGETON, NJ 08302-4531
(856) 455-5617
(856) 455-2569
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MB038361
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962906
—
NJ
Enumeration date
08/13/2006
Last updated
07/08/2007
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