Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A94176 | CA |
Y | 2080P0202X | Pediatric Cardiologist | 063281 | GA |
NPI | 1124159751 |
---|---|
Provider Name | Dr. Matthew Edward Oster |
First Address | Atlanta, GA 30341-5540 |
Second Address | Stockbridge, GA 30281-9044 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2007 |
Last Update Date | 25/01/2021 |