Healthcare Provider Details

I. General information

NPI: 1083615017
Provider Name (Legal Business Name): RACHEL OSTRY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2005
Last Update Date: 01/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 MORRIS AVE
SPRINGFIELD NJ
07081
US

IV. Provider business mailing address

3735 EASTON NAZARETH HIGHWAY SUITE 201
EASTON PA
18045
US

V. Phone/Fax

Practice location:
  • Phone: 973-921-9037
  • Fax:
Mailing address:
  • Phone: 610-438-2427
  • Fax: 610-923-9661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMA61397
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: