Basic Information
Provider Information
NPI: 1750355483
EntityType: 2
ReplacementNPI:  
OrganizationName: STEVEN L. OSCHERWITZ M.D., P.C.
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherMiddleName:  
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OtherCredential:  
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Mailing Information
Address1: 4022 E PRESIDIO ST
Address2:  
City: MESA
State: AZ
PostalCode: 852151113
CountryCode: US
TelephoneNumber: 4805880214
FaxNumber: 4809850468
Practice Location
Address1: 4022 E PRESIDIO ST
Address2:  
City: MESA
State: AZ
PostalCode: 852151113
CountryCode: US
TelephoneNumber: 4805880214
FaxNumber: 4809850468
Other Information
ProviderEnumerationDate: 02/17/2006
LastUpdateDate: 04/17/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: OSCHERWITZ
AuthorizedOfficialFirstName: STEVEN
AuthorizedOfficialMiddleName: LEE
AuthorizedOfficialTitleorPosition: MD
AuthorizedOfficialTelephone: 4805880214
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0200X20696AZY193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease

No ID Information.


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