Provider Demographics
NPI:1841233251
Name:OSZTREICHER, ANNA V (CRN)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:V
Last Name:OSZTREICHER
Suffix:
Gender:F
Credentials:CRN
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Mailing Address - Street 1:2401 W BELVEDERE AVE
Mailing Address - Street 2:ATTN: CREDENTIALING
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-5216
Mailing Address - Country:US
Mailing Address - Phone:410-601-5524
Mailing Address - Fax:410-601-8946
Practice Address - Street 1:2401 W BELVEDERE AVENUE
Practice Address - Street 2:BLAUSTEIN WOMEN'S HEALTH CENTER
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215
Practice Address - Country:US
Practice Address - Phone:410-601-6018
Practice Address - Fax:410-601-9444
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2007-11-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDR053978363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDS581860WMedicare PIN