Doctor Name: | DR. EDWARD MICHAEL OMARA |
NPI Number: | 1285808345 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 25MA07088800 |
Business Practice Address: | 2 Coldstream Court Skillman, NJ - 085582226 |
Business Phone Number: | 6093330167 |
Business Fax Number: | 6093330545 |
Mailing Address: | 2 Coldstream Court, SKILLMAN |
State: | NJ |
Postal Code: | 085582226 |
Phone Number: | 6093330167 |
Fax Number: | 6093330545 |
NPI Enumeration Date: | 04/18/2008 |
NPI Last Update Date: | 04/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 25MA07088800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |