Basic Information
Provider Information
NPI: 1841233251
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OSZTREICHER
FirstName: ANNA
MiddleName: V
NamePrefix: MRS.
NameSuffix:  
Credential: CRN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2401 W BELVEDERE AVE
Address2: ATTN: CREDENTIALING
City: BALTIMORE
State: MD
PostalCode: 212155216
CountryCode: US
TelephoneNumber: 4106015524
FaxNumber: 4106018946
Practice Location
Address1: 2401 W BELVEDERE AVENUE
Address2: BLAUSTEIN WOMEN'S HEALTH CENTER
City: BALTIMORE
State: MD
PostalCode: 21215
CountryCode: US
TelephoneNumber: 4106016018
FaxNumber: 4106019444
Other Information
ProviderEnumerationDate: 06/14/2006
LastUpdateDate: 11/29/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LX0001XR053978MDY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology

No ID Information.


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