Individual
OLESYA SOLOUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 S ORANGE AVE STE 295, LIVINGSTON, NJ 07039-5817
(201) 449-1000
Mailing address
155 MAIN ST, LEBANON, NJ 08833-2136
(908) 456-5177
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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