| Doctor Name: | MS. SARAH JANE OSTROM |
| NPI Number: | 1538434162 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 0010-03637 |
| Business Practice Address: | 90 Vandenberg Dr Hanscom Afb, MA - 017312104 |
| Business Phone Number: | 7812256789 |
| Business Fax Number: | 7812252576 |
| Mailing Address: | 90 Vandenberg Dr, HANSCOM AFB |
| State: | MA |
| Postal Code: | 017312104 |
| Phone Number: | 7812256789 |
| Fax Number: | 7812252576 |
| NPI Enumeration Date: | 03/15/2012 |
| NPI Last Update Date: | 11/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 0010-03637 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |