Individual
JOHN EDWARD OLENCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120A PROFESSIONAL COURT, HAGERSTOWN, MD 21740-5848
(301) 739-7900
(301) 739-7112
Mailing address
1120A PROFESSIONAL CT, HAGERSTOWN, MD 21740-5852
(301) 739-7900
(301) 739-7112
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD035098E
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
D0063781
MD
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD035098E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5700680
—
MD
Enumeration date
08/30/2005
Last updated
07/16/2010
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