Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | MD047309L | PA |
NPI | 1003893470 |
---|---|
Provider Name | Thomas Ostronic |
First Address | Chevy Chase, MD 20815-6200 |
Second Address | Washington, DC 20310-5801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2005 |
Last Update Date | 19/03/2008 |