Healthcare Provider Details

I. General information

NPI: 1770584724
Provider Name (Legal Business Name): JAMES M OHARA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 11/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 KENSINGTON AVENUE GROVE HILL MEDICAL CENTER
NEW BRITAIN CT
06051
US

IV. Provider business mailing address

300 KENSINGTON AVE GROVE HILL MEDICAL CENTER
NEW BRITAIN CT
06051-3999
US

V. Phone/Fax

Practice location:
  • Phone: 860-832-8150
  • Fax: 860-224-6298
Mailing address:
  • Phone: 860-832-8150
  • Fax: 860-224-6298

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number028121
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: