Provider Demographics
NPI:1407061419
Name:OSEROFF, CHARLES J (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:J
Last Name:OSEROFF
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1707 COLE BLVD.
Mailing Address - Street 2:STE 100
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401
Mailing Address - Country:US
Mailing Address - Phone:303-716-8018
Mailing Address - Fax:303-763-5495
Practice Address - Street 1:1536 COLE BLVD.
Practice Address - Street 2:BLG #4-#250
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80401
Practice Address - Country:US
Practice Address - Phone:303-716-8027
Practice Address - Fax:303-238-5258
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-12
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
MDD00327072084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry