Provider Demographics
NPI:1275694820
Name:RONALD S OSER MD PA
Entity Type:Organization
Organization Name:RONALD S OSER MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:S
Authorized Official - Last Name:OSER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-498-6616
Mailing Address - Street 1:14201 LAUREL PARK DR
Mailing Address - Street 2:SUITE 208
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-5203
Mailing Address - Country:US
Mailing Address - Phone:301-498-6616
Mailing Address - Fax:301-498-8030
Practice Address - Street 1:14201 LAUREL PARK DR
Practice Address - Street 2:SUITE 208
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-5203
Practice Address - Country:US
Practice Address - Phone:301-498-6616
Practice Address - Fax:301-498-8030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD005NMedicare PIN
MDZDNNMedicare PIN