Individual
DAVID OOMMEN JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 448-5111
Mailing address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 448-5111
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
250530
NY
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
250530
NY
Other
Enumeration date
06/20/2007
Last updated
01/02/2020
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