Basic Information
Provider Information
NPI: 1881353449
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OSWALD
FirstName: FRANCIS
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: AGACNP
OtherOrganizationName:  
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OtherCredential:  
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Mailing Information
Address1: 112 S HOOD AVE
Address2:  
City: AUDUBON
State: NJ
PostalCode: 081061029
CountryCode: US
TelephoneNumber: 6094581076
FaxNumber:  
Practice Location
Address1: 2201 CHAPEL AVE W
Address2:  
City: CHERRY HILL
State: NJ
PostalCode: 080022048
CountryCode: US
TelephoneNumber: 8565134124
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/10/2021
LastUpdateDate: 12/10/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/10/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WE0003X26NR18275200NJN Nursing Service ProvidersRegistered NurseEmergency
363LA2100X26NJ01219900NJY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care

No ID Information.


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