Provider Demographics
NPI:1598017600
Name:KATHLEEN P. O'HARA, MD, PC
Entity Type:Organization
Organization Name:KATHLEEN P. O'HARA, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:O'HARA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-996-0087
Mailing Address - Street 1:211 ESSEX ST
Mailing Address - Street 2:#206
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-3231
Mailing Address - Country:US
Mailing Address - Phone:201-996-0087
Mailing Address - Fax:201-996-0185
Practice Address - Street 1:211 ESSEX ST
Practice Address - Street 2:#206
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-3246
Practice Address - Country:US
Practice Address - Phone:201-996-0087
Practice Address - Fax:201-996-0185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-12
Last Update Date:2012-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical CareGroup - Single Specialty