Individual
DR. LYLE W OSTROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3040
(215) 707-8235
Mailing address
3500 N BROAD ST RM 1A, PHILADELPHIA, PA 19140-4106
(215) 926-9022
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
D69879
MD
2084N0400X
Neurology Physician
Primary
MD479606
PA
2084N0400X
Neurology Physician
P19641
MD
Other
Enumeration date
01/30/2007
Last updated
11/09/2022
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