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Individual
EDILBERTO OLARTE PELAUSA
Active
Individual
EDILBERTO OLARTE PELAUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101057813
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02857505
—
NY
01
—
040015729
RAILROAD MEDICARE
VA
05
—
6500218
—
VA
05
—
890519M
—
NC
Enumeration date
04/24/2006
Last updated
03/06/2013
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