Organization
OLIVERO MEDICAL HEALTH CENTER
Active
Other names
Olivero Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL OLIVERO MD (CHIEF MEDICAL OFFICER)
(814) 499-3009
Entity
Organization
Contact information
Practice address
1243 SKYTOP MOUNTAIN RD STE 4, PORT MATILDA, PA 16870-7725
(814) 499-3009
(814) 584-5751
Mailing address
1243 SKYTOP MOUNTAIN RD., SUITE 4, PORT MATILDA, PA 16870-7725
(814) 499-3009
(814) 584-5751
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
MD455879
PA
208000000X
Pediatrics Physician
MD455879
PA
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
MD455879
PA
261Q00000X
Clinic/Center
Primary
MD455879
PA
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030548210001
—
PA
Enumeration date
12/09/2017
Last updated
04/30/2025
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