Individual
OLIVIA NICOLE GONCERZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 N CLAYTON ST, WILMINGTON, DE 19805-3165
(302) 954-5157
Mailing address
41 UNIVERSITY DR STE 300, NEWTOWN, PA 18940-1873
(610) 772-6889
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0011977
DE
363A00000X
Physician Assistant
MA064964
PA
363A00000X
Physician Assistant
OA006644
PA
Other
Enumeration date
01/04/2023
Last updated
10/02/2023
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