Ostrum, Gordon J

Ostrum, Gordon J is an individual health care provider with primary practice located at 4745 Ogletown Stanton Rd Suite 106, Newark DE 19713-2067. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Ostrum, Gordon J can be contacted via phone (302) 454-9800.

Contact Information

Primary practice address
4745 Ogletown Stanton Rd Suite 106 Newark DE 19713-2067
Phone: (302) 454-9800
Fax: (302) 454-6446
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X C10001861 Delaware

Profile Details

NPI number 1033175005
LBN Legal business name Ostrum, Gordon J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Apr 2nd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033175005 NPPES
Other 4288126 AETNA
Other E97888 AETNA
Other 304818 AETNA
Other 00083564000 AETNA

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