Provider Demographics
NPI:1033107057
Name:GEIFMAN-HOLTZMAN, OSNAT (MD)
Entity Type:Individual
Prefix:DR
First Name:OSNAT
Middle Name:
Last Name:GEIFMAN-HOLTZMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:OSSIE
Other - Middle Name:
Other - Last Name:GEIFMAN-HOLTZMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:201 N 9TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-1847
Mailing Address - Country:US
Mailing Address - Phone:215-627-2229
Mailing Address - Fax:215-627-2229
Practice Address - Street 1:201 N 9TH ST STE A
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-1847
Practice Address - Country:US
Practice Address - Phone:215-627-2229
Practice Address - Fax:215-627-2229
Is Sole Proprietor?:No
Enumeration Date:2005-10-13
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD418934207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019183680001Medicaid
PA0019183680001Medicaid
064162Medicare ID - Type Unspecified
064162Medicare PIN