Individual
EDWARD RAYMOND OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - RADIOLOGY, PHILADELPHIA, PA 19104-4319
(215) 590-7000
(215) 590-9348
Mailing address
100 E PENN SQ, 9TH FL, PHILADELPHIA, PA 19107-3323
(267) 425-9232
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD440339
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
940577
AETNA
VA
Enumeration date
01/09/2007
Last updated
09/23/2015
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