Organization
JAY R. OSBORNE, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN OSBORNE (MANAGER)
(330) 538-2490
Entity
Organization
Contact information
Practice address
10850 MAHONING AVE., NORTH JACKSON, OH 44451
(330) 538-2490
(330) 538-2575
Mailing address
10850 MAHONING AVE., P.O. BOX 487, NORTH JACKSON, OH 44451
(330) 538-2490
(330) 538-2575
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0820491
—
OH
Enumeration date
07/19/2007
Last updated
07/19/2007
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