Provider Demographics
NPI:1821081753
Name:OSIAS, MARC B (MD)
Entity Type:Individual
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First Name:MARC
Middle Name:B
Last Name:OSIAS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:325 WEST GERMANTOWN PIKE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:EAST NORRITON
Mailing Address - State:PA
Mailing Address - Zip Code:19403
Mailing Address - Country:US
Mailing Address - Phone:610-272-1881
Mailing Address - Fax:610-275-8819
Practice Address - Street 1:325 WEST GERMANTOWN PIKE
Practice Address - Street 2:SUITE 100
Practice Address - City:EAST NORRITON
Practice Address - State:PA
Practice Address - Zip Code:19403
Practice Address - Country:US
Practice Address - Phone:610-272-1881
Practice Address - Fax:610-275-8819
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2011-05-24
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Provider Licenses
StateLicense IDTaxonomies
PAMD023442E208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0006554130001Medicaid
PA142981Medicare PIN
PA0006554130001Medicaid