Individual
DR. STEPHEN ANTHONY OLENCHOCK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
701 OSTRUM ST, SUITE 201, FOUNTAIN HILL, PA 18015-1155
(610) 954-3890
(610) 868-2915
Mailing address
701 OSTRUM ST, SUITE 201, FOUNTAIN HILL, PA 18015-1155
(484) 526-3890
(610) 868-2915
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
223128
MA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
223128
MA
Other
Enumeration date
05/11/2006
Last updated
04/01/2013
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