Individual
DR. DORENE ANNE O'HARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1734 SEAGULL CT, APT. 402, RESTON, VA 20194-4307
(732) 423-8533
(571) 313-0523
Mailing address
1734 SEAGULL CT, APT. 402, RESTON, VA 20194-4307
(732) 423-8533
(571) 313-0523
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
048518
NJ
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0101240686
VA
Other
Enumeration date
10/23/2006
Last updated
09/16/2013
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