Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0208X | Pediatric Infectious Diseases | 25MA02661000 | NJ |
NPI | 1679613830 |
---|---|
Provider Name | James M. Oleske |
First Address | Newark, NJ 07107-3000 |
Second Address | Newark, NJ 07107-3000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1164201 | (05) | NJ |
C59622 | (02) | NJ |