Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | OT015279 | PA |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | OS018273 | PA |
NPI | 1437593936 |
---|---|
Provider Name | Maria Olender |
First Address | Harrisburg, PA 17110-2822 |
Second Address | Harrisburg, PA 17110-2822 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2013 |
Last Update Date | 17/11/2021 |