Individual
GREGORY MADISON OLENGINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-0001
(800) 275-6401
Mailing address
100 N ACADEMY AVE # MC27-70, DANVILLE, PA 17822-9800
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MT219795
PA
Other
Enumeration date
05/28/2020
Last updated
06/12/2023
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