Individual
THOMAS MICHAEL O'MARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
144 STATE ST, PORTLAND, ME 04101-3776
(207) 879-3265
Mailing address
144 STATE ST, PORTLAND, ME 04101-3776
(207) 879-3265
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
018222
ME
207P00000X
Emergency Medicine Physician
D58430
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405005300
—
MD
05
—
434617699
—
ME
Enumeration date
05/19/2006
Last updated
09/03/2009
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