Provider Demographics
NPI:1538147830
Name:OLSZEWSKI, MARIUSZ ARTUR (MD)
Entity type:Individual
Prefix:
First Name:MARIUSZ
Middle Name:ARTUR
Last Name:OLSZEWSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 LLANFAIR RD UNIT 6
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19003-2320
Mailing Address - Country:US
Mailing Address - Phone:203-903-2982
Mailing Address - Fax:
Practice Address - Street 1:22 LLANFAIR RD UNIT 6
Practice Address - Street 2:
Practice Address - City:ARDMORE
Practice Address - State:PA
Practice Address - Zip Code:19003-2320
Practice Address - Country:US
Practice Address - Phone:203-903-2982
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-06
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4776132085R0202X
NH254842085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology