Provider Demographics
NPI:1235176868
Name:OSKOWITZ, SELWYN PHILLIP (MD)
Entity Type:Individual
Prefix:DR
First Name:SELWYN
Middle Name:PHILLIP
Last Name:OSKOWITZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1 BROOKLINE PL STE 302
Mailing Address - Street 2:BOSTON IVF - THE BOSTON CENTER
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-7237
Mailing Address - Country:US
Mailing Address - Phone:617-735-9000
Mailing Address - Fax:617-738-8993
Practice Address - Street 1:1 BROOKLINE PL STE 302
Practice Address - Street 2:BOSTON IVF - THE BOSTON CENTER
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-7237
Practice Address - Country:US
Practice Address - Phone:617-735-9000
Practice Address - Fax:617-738-8993
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2009-08-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA59220207VE0102X, 207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0-139-741-3OtherECFMG
MA0118265Medicaid
0-139-741-3OtherECFMG
MA0118265Medicaid