Provider Demographics
NPI:1063501187
Name:OSER, IRNEST STEPHEN (MD)
Entity Type:Individual
Prefix:DR
First Name:IRNEST
Middle Name:STEPHEN
Last Name:OSER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9309 WOODEN BRIDGE ROAD
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854
Mailing Address - Country:US
Mailing Address - Phone:301-340-0795
Mailing Address - Fax:301-681-5968
Practice Address - Street 1:10301 GEORGIA AVENUE
Practice Address - Street 2:SUITE 304
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902
Practice Address - Country:US
Practice Address - Phone:301-681-7200
Practice Address - Fax:301-681-5968
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0003792207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
B93681Medicare UPIN
408673Medicare ID - Type Unspecified