Individual
NEIL OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
234 GLENBROOK RD, STORRS MANSFIELD, CT 06269-2011
(860) 486-4700
(860) 486-0004
Mailing address
234 GLENBROOK RD, STORRS MANSFIELD, CT 06269-2011
(860) 486-4700
(860) 486-0004
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
16560
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003037763
NPI
—
01
—
16560
STATE LICENSE
CT
01
—
440000189
MEDICARE NUMBER
—
01
—
C59658
UPIN
—
Enumeration date
05/01/2007
Last updated
03/07/2023
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