Healthcare Provider Details

I. General information

NPI: 1699760579
Provider Name (Legal Business Name): BARBARA HOPE OSBORN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 09/15/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 RESERVOIR RD NW 3RD FLOOR GORMAN
WASHINGTON DC
20007-2113
US

IV. Provider business mailing address

15001 SHADY GROVE RD SUITE340
ROCKVILLE MD
20850-6352
US

V. Phone/Fax

Practice location:
  • Phone: 202-444-1511
  • Fax:
Mailing address:
  • Phone: 301-340-1188
  • Fax: 301-340-6478

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD33860
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: