Individual
TRACY A O'HARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
85 HERRICK ST, BEVERLY, MA 01915-1790
(978) 922-3000
Mailing address
PROVIDER ENROLLMENT 41 MALL ROAD, BURLINGTON, MA 01805-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101274395
VA
207R00000X
Internal Medicine Physician
230138
MA
208M00000X
Hospitalist Physician
0101274395
VA
208M00000X
Hospitalist Physician
13379
NH
208M00000X
Hospitalist Physician
Primary
230138
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30206550
—
NH
05
—
432520799
—
ME
Enumeration date
09/21/2006
Last updated
04/21/2025
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