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1932279395 NPI number — BERNARD J OSEROFF M.D.

NPI Number: 1932279395
Health Care Provider/Practitioner: BERNARD J OSEROFF M.D.

Information about “1932279395” NPI (BERNARD J OSEROFF M.D.) exists in 1932279395 in HTML format HTML  |  1932279395 in plain Text format TXT  |  1932279395 in PDF (Portable Document Format) PDF  |  1932279395 in an XML format XML  formats.

NPI Number : 1932279395 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1932279395",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "OSEROFF",
    "FirstName": "BERNARD",
    "MiddleName": "J",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3170 WEST STREET",
    "SecondLineMailingAddress": "SUITE 275",
    "MailingAddressCityName": "CANANDAIGUA",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "14424",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "585-394-0700",
    "MailingAddressFaxNumber": "585-394-5051",
    "FirstLinePracticeLocationAddress": "3170 WEST ST",
    "SecondLinePracticeLocationAddress": "SUITE 275",
    "PracticeLocationAddressCityName": "CANANDAIGUA",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "14424-1712",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "585-394-0700",
    "PracticeLocationAddressFaxNumber": "585-394-5051",
    "EnumerationDate": "11/09/2006",
    "LastUpdateDate": "07/09/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207N00000X",
        "TaxonomyName": "Dermatology Physician",
        "LicenseNumber": "073717-1",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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