Basic Information
Provider Information
NPI: 1427475847
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OSGOOD
FirstName: ERIC
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 593
Address2:  
City: CAPE MAY COURT HOUSE
State: NJ
PostalCode: 082100593
CountryCode: US
TelephoneNumber: 6094632755
FaxNumber: 6094632757
Practice Location
Address1: 2 STONE HARBOR BLVD
Address2: CAPE REGIONAL MEDICAL CENTER
City: CAPE MAY COURT HOUSE
State: NJ
PostalCode: 082102138
CountryCode: US
TelephoneNumber: 6094632803
FaxNumber: 6094634991
Other Information
ProviderEnumerationDate: 03/24/2014
LastUpdateDate: 09/09/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
208M00000X25MA09521800NJY Allopathic & Osteopathic PhysiciansHospitalist 
207R00000X25MA09521800NJN Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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