Individual
MARK T OSTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 662-8900
Mailing address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 662-8900
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD422520
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011992760002
—
PA
Enumeration date
01/23/2007
Last updated
03/14/2016
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