Individual
MR. DAVID PAUL OSTERHOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW,BCD
Contact information
Practice address
733 STATE HIGHWAY, #70, EAST ELMWOOD BUSINESS PARK, SUITE 303, MARLTON, NJ 08053
(856) 782-8383
(856) 782-7679
Mailing address
32 LIPPINCOTT AVE, VOORHEES, NJ 08043-4766
(856) 782-8383
(856) 782-7679
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
44SC00400000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222-613-985-000 MERI
TAXID MERIDIAN, CORP.
NJ
Enumeration date
01/08/2007
Last updated
07/08/2007
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