Individual
DR. OLIVER P ARCHIBALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2807 GRAND AVE, BALDWIN, NY 11510-4033
(865) 207-8238
Mailing address
2807 GRAND AVE, BALDWIN, NY 11510-4033
(865) 207-8238
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
44390
TN
207R00000X
Internal Medicine Physician
ME75799
FL
208M00000X
Hospitalist Physician
Primary
289251
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255856400
—
FL
01
—
44725
BSFL
FL
01
—
59068423
BSAL
FL
01
—
7558225
AETNA
FL
Enumeration date
12/13/2005
Last updated
11/11/2023
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