Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 25MA06764900 | NJ |
NPI | 1053364422 |
---|---|
Provider Name | Dr. Sara Ann Osman |
First Address | Peapack, NJ 07977-0339 |
Second Address | Peapack, NJ 07977-0339 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2006 |
Last Update Date | 27/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7737408 | (05) | NJ |
G72876 | (02) | NJ |