Individual
DR. MARTIN D OLLENSCHLEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
85 SEYMOUR ST, SUITE 200, HARTFORD, CT 06106-5501
(860) 293-6053
(860) 293-6060
Mailing address
85 SEYMOUR ST, SUITE 200, HARTFORD, CT 06106-5501
(860) 293-6053
(860) 293-6060
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
234067
NY
2084N0400X
Neurology Physician
48892
CT
2085N0700X
Neuroradiology Physician
234067
NY
2085N0700X
Neuroradiology Physician
Primary
48892
CT
2085R0202X
Diagnostic Radiology Physician
234067
NY
2085R0202X
Diagnostic Radiology Physician
48892
CT
2085R0204X
Vascular & Interventional Radiology Physician
48892
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03103495
—
NY
Enumeration date
06/29/2007
Last updated
09/15/2011
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