Individual
DR. STAVROULA K OSGANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, SCD
Contact information
Practice address
364 WORCESTER ST, SOUTHBRIDGE, MA 01550-1328
(781) 400-6920
Mailing address
364 WORCESTER ST, SOUTHBRIDGE, MA 01550-1328
(781) 400-6920
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
58442
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2104806
—
MA
Enumeration date
11/01/2006
Last updated
01/12/2019
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