Provider Demographics
NPI:1457813065
Name:OSOWSKI, CECELIA JOHANNA (CD DONA)
Entity Type:Individual
Prefix:
First Name:CECELIA
Middle Name:JOHANNA
Last Name:OSOWSKI
Suffix:
Gender:F
Credentials:CD DONA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3050 TULIP ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19134-3719
Mailing Address - Country:US
Mailing Address - Phone:571-528-0950
Mailing Address - Fax:
Practice Address - Street 1:3050 TULIP ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19134-3719
Practice Address - Country:US
Practice Address - Phone:571-528-0950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-02
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula