Individual
DR. MARY BETH ANN O'HARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
121 JPM RD, LEWISBURG, PA 17837-9313
(570) 551-0300
Mailing address
121 JPM RD, LEWISBURG, PA 17837-9313
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS008495L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001632816 0008
—
PA
01
—
906438
HIGHMARK BLUE SHIELD
PA
Enumeration date
03/31/2006
Last updated
12/23/2016
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