Individual
DR. JAN A OLENGINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8400 ROOSEVELT BLVD, SUITE 220, PHILADELPHIA, PA 19152-2081
(215) 331-7001
(215) 331-7004
Mailing address
8400 ROOSEVELT BLVD, SUITE 220, PHILADELPHIA, PA 19152-2081
(215) 331-7001
(215) 331-7004
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS007521L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000870897
BLUESHIELD
PA
05
—
0015930390002
—
PA
Enumeration date
07/06/2006
Last updated
01/17/2013
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