Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | D0077953 | MD |
NPI | 1912160771 |
---|---|
Provider Name | Peter G O'hare III |
First Address | Baltimore, MD 21237-3900 |
Second Address | Baltimore, MD 21237-3900 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2008 |
Last Update Date | 10/12/2015 |