Individual
DR. ELDER A. OLIVEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
483 CRANBURY RD, UNIVERSITY RADIOLOGY GROUP, EAST BRUNSWICK, NJ 08816-3610
(732) 390-0030
(732) 390-1856
Mailing address
579A CRANBURY RD, UNIVERSITY RADIOLOGY GROUP, EAST BRUNSWICK, NJ 08816-5426
(732) 390-0040
(732) 390-1856
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
257220
NY
2085R0202X
Diagnostic Radiology Physician
Primary
25MA08372600
NJ
2085R0202X
Diagnostic Radiology Physician
MD61328626
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0219355
—
NJ
05
—
0219355
—
NY
Enumeration date
12/23/2008
Last updated
08/30/2024
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