Nicholas A Ostrowski

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Glen Arm, MD

NPI 1740069764 · NPPES record last updated Sep 28, 2023

Key facts

NPI
1740069764
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
12122 Hooper LN
Glen Arm, MD 21057-9401
Phone
(443) 425-6815
NPI assigned
Sep 28, 2023
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

12122 Hooper LN
Glen Arm, MD 21057-9401

Mailing address

12122 Hooper LN
Glen Arm, MD 21057-9401
Phone (443) 425-6815

Other providers in Glen Arm, MD

All providers in Glen Arm, MD · Student in an Organized Health Care Education/Training Program in Maryland

Sources for this page

Verify at the official NPI Registry.