Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 034283 | NY |
NPI | 1104853886 |
---|---|
Provider Name | Dr. Charles M. Oster |
First Address | Rochester, NY 14616-1013 |
Second Address | Rochester, NY 14620-2913 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 08/07/2007 |