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Individual

MICHAEL P OSBORNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10 UNION SQ E, SUITE 4E, NEW YORK, NY 10003-3314
(212) 844-8959
Mailing address
PO BOX 95000-2441, PHILADELPHIA, PA 19195-2441
(212) 844-8959

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
145757
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02197015
NY
Enumeration date
09/15/2006
Last updated
11/30/2012
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