Individual provider · Type 1 NPI

Alan Olson

Medical Physician Assistant · Bridgeport, CT

NPI number 1033495684 Active

Practice location

267 Grant St
Bridgeport, CT 06610-2805

Mailing address

77 Chestnut Dr
Derby, CT 06418-2310

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X002643 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1033495684

Alan Olson's National Provider Identifier is 1033495684, issued on Oct 27, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bridgeport, CT. The record was last updated on Oct 27, 2011.