Organization
MICHAEL S. OLSTEIN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL S. OLSTEIN M.D. (SOLE OWNER)
(781) 396-4010
Entity
Organization
Contact information
Practice address
92 HIGH ST, MEDFORD, MA 02155-3850
(781) 396-4010
(781) 396-6802
Mailing address
92 HIGH ST, MEDFORD, MA 02155-3850
(781) 396-4010
(781) 396-6802
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
58195
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0165662
—
MA
Enumeration date
05/08/2007
Last updated
09/20/2011
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