Doctor Name: | MARIUSZ ARTUR OLSZEWSKI |
NPI Number: | 1538147830 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A 93246 |
Business Practice Address: | 1st Bn 4th Marines Bas 1st Mar Div Box 55531 Camp Pendleton, CA - 920555442 |
Business Phone Number: | 7607631831 |
Business Fax Number: | |
Mailing Address: | 1480 Broadway, #2622 SAN DIEGO |
State: | CA |
Postal Code: | 921015733 |
Phone Number: | 6195467029 |
Fax Number: | |
NPI Enumeration Date: | 01/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A 93246 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |