Individual
MRS. OLGA AKSELROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
225 SUMMIT AVE, MONTVALE, NJ 07645
(201) 775-7512
(212) 452-3323
Mailing address
225 SUMMIT AVE, MONTVALE, NJ 07645-1523
(201) 775-7512
(212) 452-3323
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00215100
NJ
363AS0400X
Surgical Physician Assistant
013140-1
NY
363AS0400X
Surgical Physician Assistant
25MP 00215100
NJ
Other
Enumeration date
03/23/2009
Last updated
11/06/2019
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