Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | MD433625 | PA |
NPI | 1013114461 |
---|---|
Provider Name | Dr. Stephen Todd Olex |
First Address | Philadelphia, PA 19178-3311 |
Second Address | Bethlehem, PA 18018 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2007 |
Last Update Date | 14/11/2019 |