Individual
DEBRA M OLCSVAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
106 S CLAUDE A LORD BLVD, POTTSVILLE, PA 17901-3639
(570) 728-2424
(570) 728-2425
Mailing address
2100 MACK BLVD, ALLENTOWN, PA 18103-5622
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA051496
PA
363A00000X
Physician Assistant
OA005118
PA
363AM0700X
Medical Physician Assistant
MA051496
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103147789
—
PA
01
—
50053697
CAPITAL BLUE CROSS
PA
Enumeration date
02/07/2006
Last updated
08/21/2024
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