Healthcare Provider Details
I. General information
NPI: 1932198520
Provider Name (Legal Business Name): ALAN E. OSHINSKY, M.D.P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/17/2005
Last Update Date: 12/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
301 SAINT PAUL PL SUITE 612
BALTIMORE MD
21202-2102
US
IV. Provider business mailing address
301 SAINT PAUL PL SUITE 612
BALTIMORE MD
21202-2102
US
V. Phone/Fax
- Phone: 410-837-6126
- Fax: 410-539-3418
- Phone: 410-837-6126
- Fax: 410-539-3418
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ALAN
ERIC
OSHINSKY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 410-837-6126