Individual
DR. ROBERT RALPH OLIVERIO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5133 RIVERS AVE, N CHARLESTON, SC 29406-6338
(843) 789-1786
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(888) 472-0043
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29068
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290688
—
SC
01
—
P00739555
RAILROAD MEDICARE ID-RSFPN
SC
Enumeration date
07/23/2006
Last updated
08/12/2025
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