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Individual

CONRADA C. OLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1315 WINDRIM AVE, PHILADELPHIA, PA 19141-2710
(215) 455-3900
Mailing address
3101 BOARDWALK TOWER 2, APARTMENT 2702, ATLANTIC CITY, NJ 08401-5162
(609) 317-4170

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD037757L
PA

Other

Enumeration date
06/23/2006
Last updated
04/02/2009
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