Provider Demographics
NPI:1912160771
Name:O'HARE, PETER G III (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:G
Last Name:O'HARE
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 UPPER CHESAPEAKE DR STE 301
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-4375
Mailing Address - Country:US
Mailing Address - Phone:443-643-4300
Mailing Address - Fax:443-643-4303
Practice Address - Street 1:520 UPPER CHESAPEAKE DR STE 301
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-4375
Practice Address - Country:US
Practice Address - Phone:443-643-4300
Practice Address - Fax:443-643-4303
Is Sole Proprietor?:No
Enumeration Date:2008-07-02
Last Update Date:2024-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0077953207VF0040X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery