Provider Demographics
NPI:1851687388
Name:OSTERMAN PLA, ANTHONY DEAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:DEAN
Last Name:OSTERMAN PLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2 MEDICAL CENTER DR STE 410
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01107-1273
Mailing Address - Country:US
Mailing Address - Phone:413-781-5735
Mailing Address - Fax:413-732-9225
Practice Address - Street 1:2 MEDICAL CENTER DR STE 410
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01107-1273
Practice Address - Country:US
Practice Address - Phone:413-781-5735
Practice Address - Fax:413-732-0225
Is Sole Proprietor?:No
Enumeration Date:2011-06-23
Last Update Date:2021-06-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR18948207R00000X
MA274226207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine