MEDICARE: DAVID N OSSER MD

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	2084P0800X	Psychiatry Physician	35839	MA

General Provider Information

NPI Number	:	1700852779
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID N OSSER MD

Provider Business Mailing Address
First Line	:	940 BELMONT STREET
Second Line	:
City	:	BROCKTON
State	:	MA
Zip	:	02301-5596
Country	:	US
Telephone Number	:	774-826-1650
Fax Number	:	774-826-1655

Provider Business Practice Location Address
First Line	:	940 BELMONT STREET
Second Line	:
City	:	BROCKTON
State	:	MA
Zip	:	02301-5596
Country	:	US
Telephone Number	:	774-826-1650
Fax Number	:	774-826-1655

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

Provider Enumeration Date	:	02/28/2006
Last Update Date	:	05/26/2023

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