| Doctor Name: | DR. MICHAEL JOSHUA OSTACHER |
| NPI Number: | 1093789083 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 72605 |
| Business Practice Address: | 50 Staniford St Ste 580 Massachusetts General Hospital Boston, MA - 021142540 |
| Business Phone Number: | 6177265258 |
| Business Fax Number: | 6177266768 |
| Mailing Address: | Po Box 9142, Mass. General Physician Organization CHARLESTOWN |
| State: | MA |
| Postal Code: | 021299142 |
| Phone Number: | 6177240287 |
| Fax Number: | 6177262894 |
| NPI Enumeration Date: | 02/15/2006 |
| NPI Last Update Date: | 05/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084A0401X |
| License Number: | 72605 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Addiction Medicine |
| Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |