Healthcare Provider Details

I. General information

NPI: 1427475847
Provider Name (Legal Business Name): ERIC OSGOOD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2014
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1544 KUSER RD STE C9
HAMILTON NJ
08619-3830
US

IV. Provider business mailing address

1544 KUSER RD STE C9
HAMILTON NJ
08619-3830
US

V. Phone/Fax

Practice location:
  • Phone: 609-414-3760
  • Fax: 877-673-2857
Mailing address:
  • Phone: 609-414-3760
  • Fax: 877-673-2857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MA09521800
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number25MA09521800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: