Healthcare Provider Details

I. General information

NPI: 1255975454
Provider Name (Legal Business Name): ALEN OSTOJIC MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/30/2019
Last Update Date: 10/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CENTER DR BG 10-CRC RM 3-3340
BETHESDA MD
20892-0001
US

IV. Provider business mailing address

10 CENTER DR BG 10-CRC RM 3-3340
BETHESDA MD
20892-0001
US

V. Phone/Fax

Practice location:
  • Phone: 240-858-3424
  • Fax:
Mailing address:
  • Phone: 240-858-3424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744R1102X
TaxonomyResearch Study Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: