Provider Demographics
NPI:1700852779
Name:OSSER, DAVID N (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:N
Last Name:OSSER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:940 BELMONT STREET
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-5596
Mailing Address - Country:US
Mailing Address - Phone:774-826-1650
Mailing Address - Fax:774-826-1655
Practice Address - Street 1:940 BELMONT STREET
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-5596
Practice Address - Country:US
Practice Address - Phone:774-826-1650
Practice Address - Fax:774-826-1655
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-28
Last Update Date:2023-05-26
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Provider Licenses
StateLicense IDTaxonomies
MA358392084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAA53904Medicare UPIN
MAOSC25130Medicare ID - Type Unspecified