Provider Demographics
NPI:1245498120
Name:WEXLER, EVE OSTER (MD)
Entity type:Individual
Prefix:
First Name:EVE
Middle Name:OSTER
Last Name:WEXLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:EVE
Other - Middle Name:ALYSE
Other - Last Name:OSTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1856 BERKELEY MEWS NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30329-3361
Mailing Address - Country:US
Mailing Address - Phone:646-549-0000
Mailing Address - Fax:
Practice Address - Street 1:2244 HENDERSON MILL RD NE STE 108
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30345-2740
Practice Address - Country:US
Practice Address - Phone:770-239-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA71300208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics