Provider Demographics
NPI:1043373855
Name:OSWEGO COUNTY OB-GYN PC
Entity Type:Organization
Organization Name:OSWEGO COUNTY OB-GYN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:E
Authorized Official - Last Name:MATHER
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:315-343-2590
Mailing Address - Street 1:42 MONTCALM ST
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:NY
Mailing Address - Zip Code:13126-1321
Mailing Address - Country:US
Mailing Address - Phone:315-343-2590
Mailing Address - Fax:315-343-4197
Practice Address - Street 1:42 MONTCALM ST
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:NY
Practice Address - Zip Code:13126-1321
Practice Address - Country:US
Practice Address - Phone:315-343-2590
Practice Address - Fax:315-343-4197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty