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Individual

MR. MARK THEODORE OLESNICKY II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
135 COLUMBIA TRNPK, STE 203, FLORHAM PARK, NJ 07932
(973) 822-3693
(973) 822-3321
Mailing address
135 COLUMBIA TRNPK, STE 203, FLORHAM PARK, NJ 07932
(973) 822-5000
(973) 822-3321

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27783
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1642707
NJ
01
222044453
HORIZON
NJ
01
46931
AETNA
NJ
01
D08492
OXFORD
NJ
Enumeration date
07/21/2006
Last updated
05/26/2010
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