Individual
GEORGE K VAN OSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1741 WILLIAMSPORT PIKE, MARTINSBURG, WV 25404-4341
(304) 596-2378
Mailing address
11350 MCCORMICK ROAD, EXECUTIVE PLAZA 1, SUITE 501, HUNT VALLEY, MD 21031
(410) 329-1071
(410) 329-1054
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
0101029086
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005719836
—
VA
01
—
384801
ANTHEM
VA
Enumeration date
04/20/2006
Last updated
07/11/2019
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