Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | MD068000L | PA |
NPI | 1003857491 |
---|---|
Provider Name | Timothy C Oskin |
First Address | Easton, PA 18045-8338 |
Second Address | Easton, PA 18045-8338 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 10/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01754739 | (05) | PA |
G89537 | (02) |