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General NPI Number Information
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NPI Number | 1114052784
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Entity Type | Organization
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Legal Business Name | ROBERT H OSOFSKY MD PC
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 299 CAREW ST. SUITE 330
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City | SPRINGFIELD
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State | MA
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Zip | 01104
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Country | US
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Telephone | 413-734-4918
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Fax | 413-734-4919
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Provider Business Mailing Address
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Address Line | 299 CAREW ST SUITE 330
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City | SPRINGFIELD
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State | MA
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Zip | 01104
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Country | US
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Telephone | 413-734-4918
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Fax | 413-734-4919
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | DR. ROBERT H OSOFSKY
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Credential | MD
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Telephone | 413-734-4918
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 39759
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License Number State | MA
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