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Contact Information

ROGER H OSTDAHL, MD
920 CENTURY DR
MECHANICSBURG, PA17055-4351
 Phone: 717-697-5800
 Fax: 717-697-2719
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ROGER H OSTDAHL · (Male)

NPI Number 1649265547
Status Active
Credentials MD
Entity Individual
Enumeration date 09/16/2005
Last updated 07/09/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD021990E
  • PA Medicaid 0008007100002
  • PA Other 55760038 AETNA
  • PA Other 50073728 BLUE CROSS
  • PA Other 7112073 GATEWAY
  • PA Other 18548 GEISINGER
  • PA Other 112073 HIGHMARK BLUE SHIELD
  • PA Other 228144 UNISON
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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