Individual
JOHN A OLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
223 WEST MAIN STREET, SUITE 1B, BOONTON, NJ 07005-1165
(973) 402-1973
(973) 402-1969
Mailing address
223 WEST MAIN STREET, SUITE 1B, BOONTON, NJ 07005-1165
(973) 402-1973
(973) 402-1969
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00197700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1879502
—
NJ
Enumeration date
01/28/2006
Last updated
08/12/2008
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