Provider Demographics
NPI:1366532723
Name:OSTRUM, ROBERT F (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:F
Last Name:OSTRUM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3 COOPER PLZ
Mailing Address - Street 2:SUITE 408
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1438
Mailing Address - Country:US
Mailing Address - Phone:856-968-7363
Mailing Address - Fax:856-968-8288
Practice Address - Street 1:3 COOPER PLZ
Practice Address - Street 2:SUITE 408
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1438
Practice Address - Country:US
Practice Address - Phone:856-968-7363
Practice Address - Fax:856-968-8288
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2010-10-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMA07520600207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3001229OtherAETNA
NJ3K5447OtherHEALTHNET
NJ37638OtherUNIVERISTY HEALTH PLAN
NJ875996OtherUNITED HEALTHCARE
NJ1454947OtherPA BS HIGHMARK
NJP2826853OtherOXFORD
NJ2140561000OtherAMERIHEALTH/KEYSTONE/IBC
NJ8830304Medicaid
NJ010004718OtherAMERICHOICE
NJ3K5447OtherHEALTHNET
A16979Medicare UPIN