Organization
BARRY OSTROW MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY S OSTROW MD (PRESIDENT)
(919) 219-3206
Entity
Organization
Contact information
Practice address
4908 LAKEGREEN CT, RALEIGH, NC 27612-3593
(919) 219-3206
(919) 510-0252
Mailing address
4908 LAKEGREEN CT, RALEIGH, NC 27612-3593
(919) 219-3206
(919) 788-1609
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64369
BCBS
NC
05
—
8964369
—
NC
Enumeration date
08/16/2006
Last updated
04/12/2019
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