Individual
MARCELINO OLIVERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
231 GRANITE RUN DRIVE, LANCASTER, PA 17601-6823
(717) 560-4200
(717) 560-4159
Mailing address
231 GRANITE RUN DR, LANCASTER, PA 17601-6823
(717) 560-4200
(717) 560-4159
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
OS006141E
PA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
OS006141E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200024841
MEDICARE-RAILROAD
PA
01
—
OL666110
MEDICARE-DME
PA
Enumeration date
09/26/2005
Last updated
09/30/2024
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