Organization
STEPHANIE M. OLIVA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE M OLIVA MD (PHYSICIAN)
(609) 744-7442
Entity
Organization
Contact information
Practice address
10 RESEARCH PL STE 206, NORTH CHELMSFORD, MA 01863-2439
(978) 275-1390
(978) 275-1394
Mailing address
35 UNITED DR STE 102, WEST BRIDGEWATER, MA 02379-1027
(508) 238-8646
(508) 230-9772
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
269214
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110120133A
—
MA
Enumeration date
06/22/2018
Last updated
10/14/2018
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