Individual
DR. EDWARD J AUSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
POLK CENTER, 100 LAKEWOOD CIRCLE, POLK, PA 16342-0094
(814) 432-0471
(814) 432-0179
Mailing address
1541 ELK ST, FRANKLIN, PA 16323-1619
(814) 432-2658
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35670
CO
207Q00000X
Family Medicine Physician
OP1362
WA
207Q00000X
Family Medicine Physician
Primary
OS4278L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01356708
—
PA
Enumeration date
12/28/2005
Last updated
12/28/2007
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