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Individual

DR. MICHAEL A OLENGINSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
423 3RD AVE, SUITE C, KINGSTON, PA 18704-5809
(570) 714-3434
(570) 714-6355
Mailing address
423 3RD AVE, SUITE C, KINGSTON, PA 18704-5809
(570) 714-3434
(570) 714-6355

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
OS006897L
PA
207YX0602X
Otolaryngic Allergy Physician
OS006897L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0012408070004
PA
01
078612
FIRST PRIORITY HEALTH
PA
Enumeration date
07/04/2006
Last updated
09/09/2008
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