Individual
MICHAEL OLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1036 BRIAR WAY, FORT LEE, NJ 07024-6351
(212) 729-9928
(201) 224-3627
Mailing address
1036 BRIAR WAY, FORT LEE, NJ 07024-6351
(212) 729-9928
(201) 224-3627
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA10982700
NJ
390200000X
Student in an Organized Health Care Education/Training Program
AB2268301168
NJ
Other
Enumeration date
08/05/2012
Last updated
07/19/2021
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