Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DORENE ANNE O'HARA, MD
Active Sole ProprietorAmbulatory Surgical Center · RESTON, VA
Registration Details
- NPI Number
- 1679656607
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 23, 2006 (19.493474961345 yrs)
- Last Updated
- Sep 16, 2013
- Licenses
-
048518 (NJ)0101240686 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1734 SEAGULL CTAPT. 402RESTON, VA, 201944307Browse VA providers · Browse ZIP 20194
- Phone
- 7324238533
- Fax
- 5713130523
- Primary Specialty
-
Ambulatory Surgical Center
261QA1903X
- Additional Specialty
- Ambulatory Surgical Center
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.