Organization
GENERAL & VASCULAR SURGICAL GROUP, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN A OLENGINSKI D.O. (PRESIDENT)
(215) 331-7001
Entity
Organization
Contact information
Practice address
8400 ROOSEVELT BLVD, SUITE 220, PHILADELPHIA, PA 19152-2081
(215) 331-7001
(215) 331-7004
Mailing address
8400 ROOSEVELT BOULEVARD, SUITE 220, PHILADELPHIA, PA 19152-2029
(215) 331-7001
(215) 331-7004
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS007521L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016148180006
—
PA
Enumeration date
01/08/2007
Last updated
01/18/2013
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