Individual
DR. OLIVIA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, SUITE 9329, PHILADELPHIA, PA 19104-4319
(215) 590-1858
Mailing address
100 EAST PENN SQUARE, THE WANAMAKER BLDG., 9TH FL., N, PHILADELPHIA, PA 19107-3323
(267) 425-9320
(267) 425-9331
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
MD460796
PA
390200000X
Student in an Organized Health Care Education/Training Program
BB5204071-ON4
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033208840001
—
PA
Enumeration date
06/24/2010
Last updated
03/27/2018
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