Laura J Olson is a Internal Medicine in Revere, Massachusetts. Laura J Olson practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Laura J Olson is 1093705642. The last update date is 2007-07-08.
Laura J Olson's current location address is 300 Ocean Ave, Revere, Massachusetts. You can contact this provider via phone number 7814856000 and fax number 7814856392. The mailing address for Laura J Olson is 300 Ocean Ave, Revere, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laura J Olson |
|---|---|
| Address | 300 Ocean Ave, Revere, Massachusetts |
| Phone Number | 7814856000 |
| Fax Number | 7814856392 |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1093705642 |
|---|---|
| Provider Enumeration Date | 2005-10-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 300 Ocean Ave |
|---|---|
| City | Revere |
| State | Massachusetts (MA) |
| Post Code | 21513675 |
| Phone Number | 7814856000 |
| Fax Number | 7814856392 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 70597 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| J11049 | MA | BCBS MA | |
| 3082113 | MA | -- | |
| 70597 | MA | TUFTS HEALTH PLAN |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Laura J Olson by the Centers for Medicare & Medicaid Services?
The Laura J Olson has been assigned the NPI (National Provider Identifier) 1093705642 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Laura J Olson?
The Laura J Olson is situated at 300 Ocean Ave, in the city of Revere, state of MA, with the zip code 21513675.
What is Laura J Olson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Laura J Olson's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.
On what date did Laura J Olson receive its 1093705642 assignment from the Centers for Medicare & Medicaid Services?
The Laura J Olson was assigned its 1093705642 on 2005-10-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Laura J Olson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Laura J Olson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.