Individual provider · Type 1 NPI

Dorene Anne O'Hara, MD

Ambulatory Surgical Clinic/Center · Reston, VA

NPI number 1679656607 Active

Practice location

1734 Seagull Ct, Apt. 402
Reston, VA 20194-4307

Call (732) 423-8533 Map

Fax (571) 313-0523

Specialties and licenses

TaxonomyCodeLicense
Anesthesiology Physician 207L00000X048518 (NJ)
Ambulatory Surgical Clinic/Center Primary 261QA1903X0101240686 (VA)

Ambulatory Surgical Clinic/Center: Definition to come...

About NPI 1679656607

Dorene Anne O'Hara, MD's National Provider Identifier is 1679656607, issued on Oct 23, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Reston, VA. The record was last updated on Sep 16, 2013.