Individual provider · Type 1 NPI

Olivia Man

Student in an Organized Health Care Education/Training Program · New Haven, CT

NPI number 1972200772 Active

Practice location

20 York St
New Haven, CT 06510-3220

Other practice locations

  • 200 1st St SW, Rochester, MN 55905-0001 · (507) 284-2511
  • 885 Tiverton Drive, Los Angeles, CA 90095-0001 · (310) 825-6373

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X77591 (MN)
Internal Medicine Physician 207R00000X33488 (MN)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1972200772

Olivia Man's National Provider Identifier is 1972200772, issued on Feb 13, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New Haven, CT. The record was last updated on Jul 26, 2026.