Individual
DR. PAUL RUSSELL OSTERDAHL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
698 MULLICA HILL RD, MULLICA HILL, NJ 08062-4452
(856) 508-1000
Mailing address
698 MULLICA HILL RD STE 220, MULLICA HILL, NJ 08062-4453
(856) 845-4061
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MB11173400
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2017
Last updated
08/20/2021
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