Provider Demographics
NPI:1174787659
Name:OSBORN, CHRISTEEN (MD)
Entity type:Individual
Prefix:
First Name:CHRISTEEN
Middle Name:
Last Name:OSBORN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 POND AVE
Mailing Address - Street 2:APT C311
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-7141
Mailing Address - Country:US
Mailing Address - Phone:617-894-4029
Mailing Address - Fax:
Practice Address - Street 1:77 POND AVE
Practice Address - Street 2:APT C311
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-7141
Practice Address - Country:US
Practice Address - Phone:617-894-4029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-15
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR46874208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery