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Individual

DR. EDWARD L OSBORN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1151 E MAIN ST, TORRINGTON, CT 06790-3910
(860) 489-7671
(860) 482-0410
Mailing address
1151 E MAIN ST, TORRINGTON, CT 06790-3910
(860) 489-7671
(860) 482-0410

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
022860
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001228600
CT
01
061044951
TAX ID
CT
Enumeration date
12/22/2005
Last updated
12/22/2008
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