Provider Demographics
NPI:1336148162
Name:OSER, RONALD S (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:S
Last Name:OSER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14201 LAUREL PARK DR
Mailing Address - Street 2:SUITE 208
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-5203
Mailing Address - Country:US
Mailing Address - Phone:301-498-6616
Mailing Address - Fax:301-498-8030
Practice Address - Street 1:14201 LAUREL PARK DR
Practice Address - Street 2:SUITE 208
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-5203
Practice Address - Country:US
Practice Address - Phone:301-498-6616
Practice Address - Fax:301-498-8030
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2009-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD15976207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD118081900Medicaid
MD6699OtherBLUE SHIELD
DC20480001OtherBLUE SHIELD
675821002OtherCIGNA
25432OtherMAMSI GROUP
675821002OtherCIGNA
MD6699OtherBLUE SHIELD