Individual
MRS. OLGA OLIVERA POMERLEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2568A RIVA RD., SUITE 103, ANNAPOLIS, MD 21401-7457
(410) 224-7667
(410) 224-7007
Mailing address
2568A RIVA RD., SUITE 103, ANNAPOLIS, MD 21401-7457
(410) 224-7667
(410) 224-7007
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101237777
VA
208000000X
Pediatrics Physician
Primary
D0067152
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010176832
—
VA
Enumeration date
10/20/2005
Last updated
06/10/2011
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