Individual
JON OLETSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
(410) 787-4000
Mailing address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
(410) 787-4000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0045664
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
369071700
—
MD
Enumeration date
07/29/2005
Last updated
09/16/2010
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