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Individual

SUSAN R O'MARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-2976
(202) 877-7000
Mailing address
1000 RIVER RD, STE 100, CONSHOHOCKEN, PA 19428-2439
(800) 355-3818
(610) 834-2862

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD034561
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
75859902
BLUE SHIELD
MD
01
J8790001
BLUE SHIELD
DC
01
P00200569
RAILROAD MED
DC
Enumeration date
01/26/2007
Last updated
02/19/2008
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