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NPI Code Detail

MEDICARE: MYDOCTOR

MEDICARE: MYDOCTOR
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
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1750120648
Entity Type Code : Organization
Provider Name (Legal Business Name) : MYDOCTOR
Provider Business Mailing Address
First Line : 1544 KUSER RD STE C9
Second Line :
City : HAMILTON
State : NJ
Zip : 08619-3830
Country : US
Telephone Number : 609-414-3760
Fax Number :
Provider Business Practice Location Address
First Line : 1544 KUSER RD STE C9
Second Line :
City : HAMILTON
State : NJ
Zip : 08619-3830
Country : US
Telephone Number : 609-414-3760
Fax Number : 262-208-1338
Authorized Official
Title or Position : OWNER
Name : ERIC OSGOOD
Credential : MD
Telephone Number : 609-468-8191
Provider Enumeration Date : 05/21/2024
Last Update Date : 02/11/2026

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Directions to “MYDOCTOR ” Practice Location

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