Individual
DAVID E OSAYANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 941-7000
Mailing address
680 CENTRE ST, BROCKTON, MA 02302-3308
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
D0103844
MD
2085R0204X
Vascular & Interventional Radiology Physician
Primary
D0103844
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
Other
Enumeration date
07/08/2019
Last updated
06/27/2025
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