# MEDICAL AND WELLNESS CENTER OF OLNEY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104013671
- **Authorized official:** ALOK MATHUR M.D. (PHYSICIAN/OWNER)
- **Authorized official phone:** (301) 774-2506

## Contact information

- **Practice address:** 4000 OLNEY-LAYTONSVILLE RD, OLNEY, MD 20832-1802
- **Practice address phone:** (301) 774-2506
- **Practice address fax:** (301) 774-3734
- **Mailing address:** 4000 OLNEY-LAYTONSVILLE RD, OLNEY, MD 20832-1802
- **Mailing address phone:** (301) 774-2506
- **Mailing address fax:** (301) 774-3734

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D0055694 | MD | Yes |
| 207R00000X | Internal Medicine Physician | D0055931 | MD | — |
| 207R00000X | Internal Medicine Physician | D0056132 | MD | — |

## Other

- **Enumeration date:** 09/28/2007
- **Last updated:** 10/01/2012
