MEDICARE: THOMAS OSTRONIC M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	MD047309L	PA

General Provider Information

NPI Number	:	1003893470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS OSTRONIC M.D.

Provider Business Mailing Address
First Line	:	7111 WOODMONT AVE
Second Line	:	APT 618
City	:	CHEVY CHASE
State	:	MD
Zip	:	20815-6200
Country	:	US
Telephone Number	:	301-657-3497
Fax Number	:

Provider Business Practice Location Address
First Line	:	DILORENZO TRICARE HEALTH CLINIC
Second Line	:	5801 ARMY PENTAGON, CORRIDOR 8
City	:	WASHINGTON
State	:	DC
Zip	:	20310-5801
Country	:	US
Telephone Number	:	703-692-0965
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/28/2005
Last Update Date	:	03/19/2008

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