Healthcare Provider Details

I. General information

NPI: 1598022337
Provider Name (Legal Business Name): DR CRAIG RICHARD OSER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2012
Last Update Date: 04/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 GALLERY DR SUITE 200
MC MURRAY PA
15317-2690
US

IV. Provider business mailing address

160 GALLERY DR SUITE 200
MC MURRAY PA
15317-2690
US

V. Phone/Fax

Practice location:
  • Phone: 215-828-7799
  • Fax:
Mailing address:
  • Phone: 215-828-7799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License NumberOS011852
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberOS011852
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. CRAIG RICHARD OSER
Title or Position: D.O./OWNER
Credential: D.O.
Phone: 215-828-7799