Individual
DR. ANITA MARIE OSMUNDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
250 SOUTH ST, FREEHOLD, NJ 07728-2635
(732) 780-7870
(732) 679-9566
Mailing address
28 THROCKMORTON LN, SUITE 204, OLD BRIDGE, NJ 08857-2558
(732) 679-6300
(732) 679-9566
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
4608
OK
207N00000X
Dermatology Physician
OT010168
PA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
25MB08611500
NJ
207ND0101X
MOHS-Micrographic Surgery Physician
4608
OK
207NS0135X
Procedural Dermatology Physician
4608
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100749090B
—
OK
Enumeration date
02/08/2008
Last updated
09/28/2014
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