Provider Demographics
NPI:1598022337
Name:DR CRAIG RICHARD OSER LLC
Entity Type:Organization
Organization Name:DR CRAIG RICHARD OSER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:D.O./OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:OSER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:215-828-7799
Mailing Address - Street 1:160 GALLERY DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-2690
Mailing Address - Country:US
Mailing Address - Phone:215-828-7799
Mailing Address - Fax:
Practice Address - Street 1:160 GALLERY DR
Practice Address - Street 2:SUITE 200
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-2690
Practice Address - Country:US
Practice Address - Phone:215-828-7799
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-18
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS011852208600000X, 2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
No2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Multi-Specialty