Individual
DR. EDWARD F O'HARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1009 RADIO RD, TUCKERTON, NJ 08087-1638
(609) 296-3540
(609) 296-1783
Mailing address
PO BOX 488, 1009 RADIO ROAD, TUCKERTON, NJ 08087-0488
(609) 296-3540
(609) 296-1783
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA03815200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1203002
—
NJ
Enumeration date
05/29/2007
Last updated
07/08/2007
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