| Gordon J Ostrum Jr, MD | |
|
4745 Ogletown Stanton Rd, Suite 106, Newark, DE 19713-2067 | |
| (302) 454-9800 | |
| (302) 454-6446 |
| Full Name | Gordon J Ostrum Jr |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 4745 Ogletown Stanton Rd, Newark, Delaware |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033175005 | NPI | - | NPPES |
| 4288126 | Other | AETNA | |
| E97888 | Other | DE | BLUE CROSS BLUE SHIELD |
| 304818 | Other | DE | COVENTRY |
| 00083564000 | Other | AMERIHEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | C10001861 (Delaware) | Primary |
| Entity Name | Lifeline Medical Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821041617 PECOS PAC ID: 1456332170 Enrollment ID: O20200715000109 |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon J Ostrum Jr, MD 4735 Ogletown Stanton Rd, Suite 1109, Newark, DE 19713-2072 Ph: (302) 454-9800 | Gordon J Ostrum Jr, MD 4745 Ogletown Stanton Rd, Suite 106, Newark, DE 19713-2067 Ph: (302) 454-9800 |
Joanne Goshow-harris, D.O. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 4735 Ogletown Stanton Rd, Suite 2300, Newark, DE 19713 Phone: 302-224-8400 Fax: 302-225-1111 | |
Ms. Gabrielle Elizabeth Ciotti, PA-C Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 4755 Ogletown Stanton Rd, Newark, DE 19718 Phone: 302-733-6510 | |
Howard B Goldstein, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4735 Ogletown Stanton Rd, Suite 1208, Newark, DE 19713 Phone: 302-623-4055 Fax: 302-623-4056 | |
Dr. Allison Guggenheim Shaber, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 4735 Ogletown Stanton Rd Ste 1109, Newark, DE 19713 Phone: 302-623-4175 Fax: 302-623-3841 | |
Faith A, Brosch, M.D, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4745 Ogletown Stanton Rd, Map1, Suite 207, Newark, DE 19713 Phone: 302-368-9000 Fax: 302-368-9004 | |
Kerry Campbell, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4755 Ogletown Stanton Rd, Newark, DE 19718 Phone: 302-733-1042 |