Individual
DR. GREGORY WARREN OLDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
915 OLD FERN HILL RD BLDG B STE 200, WEST CHESTER, PA 19380-4269
(610) 696-1230
(610) 696-2341
Mailing address
915 OLD FERN HILL RD BLDG B STE 200, WEST CHESTER, PA 19380-4269
(610) 696-1230
(610) 918-0803
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD450544
PA
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
MD450544
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102929690
—
PA
01
—
P01374577
RAILROAD MEDICARE
PA
Enumeration date
07/07/2009
Last updated
10/10/2020
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