Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD439028 | PA |
N | 111NI0900X | Internist | MD439028 | PA |
Y | 207RA0401X | Internist - Addiction Medicine | MD439028 | PA |
NPI | 1487980793 |
---|---|
Provider Name | Dr. Julie Ann Ohara |
First Address | Scranton, PA 18504-2052 |
Second Address | Scranton, PA 18504-2052 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2009 |
Last Update Date | 20/04/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0398632 | (05) | NJ |
1025237750003 | (05) | PA |
1025237750004 | (05) | PA |