Individual
JAISA SAMANTHA OLASKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
330 BROOKLINE AVE, DEPT OF MINIMALLY INVASIVE SURGERY, BOSTON, MA 02215-5400
(617) 667-7000
Mailing address
330 BROOKLINE AVE, DEPT OF MINIMALLY INVASIVE SURGERY, BOSTON, MA 02215-5400
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
250994
MA
208600000X
Surgery Physician
A102401
CA
Other
Enumeration date
08/01/2008
Last updated
05/27/2013
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