Provider Demographics
NPI:1548445240
Name:OSBORN, ERIC A (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:A
Last Name:OSBORN
Suffix:
Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:330 BROOKLINE AVENUE, BAKER 4
Mailing Address - Street 2:BETH ISRAEL DEACONESS MEDICAL CENTER, CARDIOLOGY DIV.
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5400
Mailing Address - Country:US
Mailing Address - Phone:617-632-7452
Mailing Address - Fax:617-632-7370
Practice Address - Street 1:330 BROOKLINE AVENUE, BAKER 4
Practice Address - Street 2:BETH ISRAEL DEACONESS MEDICAL CENTER, CARDIOLOGY DIV.
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5400
Practice Address - Country:US
Practice Address - Phone:617-632-7452
Practice Address - Fax:617-632-7370
Is Sole Proprietor?:No
Enumeration Date:2008-01-01
Last Update Date:2016-04-07
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Provider Licenses
StateLicense IDTaxonomies
MA228397207R00000X
MA235049207RI0011X, 207RC0000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease