Provider Demographics
NPI:1770584724
Name:OHARA, JAMES M (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:M
Last Name:OHARA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:300 KENSINGTON AVE
Mailing Address - Street 2:GROVE HILL MEDICAL CENTER
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06051-3999
Mailing Address - Country:US
Mailing Address - Phone:860-832-8150
Mailing Address - Fax:860-224-6298
Practice Address - Street 1:300 KENSINGTON AVENUE
Practice Address - Street 2:GROVE HILL MEDICAL CENTER
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06051
Practice Address - Country:US
Practice Address - Phone:860-832-8150
Practice Address - Fax:860-224-6298
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2009-11-12
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Provider Licenses
StateLicense IDTaxonomies
CT028121207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT01028121OtherCIGNA
CTP369806OtherOXFORD
CT110071622OtherRAIL ROAD MEDICARE ID
CT477114OtherAETNA
CT010028121CT01OtherBCBS & BCFP ID
CT02812101OtherCONNECTICARE
CT1255448155OtherGHMC GROUP NPI ID
CT060030OtherHEALTH NET
CT001281211Medicaid
CT004215324Medicaid
CT368282OtherWELLCARE MEDICARE
CT1255448155OtherGHMC GROUP NPI ID
CT060030OtherHEALTH NET
CT01028121OtherCIGNA